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It was ripe for the picking. 

Homeless maniac Shawnee Moore stabbed a 75-year-old woman in the neck as she waited for an Uber in Brooklyn after the nutjob eerily grunted "hello" to her, cops and sources said Monday.

California Legislators Shriek: 'Stop Nick Shirley!'

Authored by Mike McDaniel via AmericanThinker.com,

Without the second Trump Administration, we would surely not have discovered, and most importantly, acted upon, the fraud being committed around the country, most notably in blue states like Minnesota and California. So much has been discovered so rapidly, President Trump appointed Vice President Vance to head an anti-fraud task force, and the DOJ hired additional prosecutors to handle the dramatically increasing number of cases. Federal officials are suggesting the sheer amount of fraud, discovered and yet to be discovered, is so staggering clawing back that money could balance the federal budget.

Instrumental in exposing sufficient fraud so it could no longer be ignored by local or state officials is independent journalist Nick Shirley, who exposed the infamous “Quality Learing Center” day care fraud in Minneapolis, as well as many less well-known fraudulent day cares. So effective was Shirley, and so quickly did his work anger local fraudsters and state officials, Shirley received so many death threats he apparently decided to give California a try. This was the immediate result: 

Graphic: X Post

Independent journalist Nick Shirley has released a devastating 40-minute investigative video that exposes what appears to be massive waste and potential fraud in California’s hospice, Medi-Cal, and daycare programs. His report, now viewed more than 7.7 million times on X, uncovers over $170 million in questionable billings tied to ghost hospice and daycare operations that show virtually no signs of actually caring for patients or children.

Shirley found that focusing mostly on Victory Blvd. in Van Nuys:

Graphic: X Post

In Minnesota and California, honest public employees tried for years to expose fraud, but their superiors and the state Attorney General’s Office ignored them. But with Shirley’s discovery of incredible levels of fraud, the California Legislature was prodded into action: they’re criminalizing exposing fraud:  

Independent journalist Nick Shirley accused California lawmakers of trying to shield taxpayer-funded organizations from scrutiny after the state Assembly advanced AB 2624, dubbed the "Stop Nick Shirley Act," a bill the author says is intended to protect immigration service providers from harassment and threats.

"I obviously hit a nerve," Shirley said during an appearance Wednesday night on "Fox News @ Night" with Trace Gallagher.

"What's interesting about this, this bill is it's protecting NGOs and nonprofits," Shirley said. "These are organizations and groups that receive our tax dollars, yet they want to make it so we can't find out what they're doing with our tax dollars."

Shirley argued the proposal would discourage investigations into organizations receiving public funds.

And that’s obviously the point of the legislation. But why would legislators, people sworn to protect the public, presumably at least in part by catching criminals defrauding taxpayers of billions, want to protect those criminals? It’s a puzzler, unless, perhaps, those NGOs and nonprofits are primary funding sources of the Democrat Party and Democrat politicians? But surely that can’t be happening in a single-party state like California, where corruption is all but nonexistent? Shirley explained:

"The Somalis in Minnesota, they stole hundreds of millions, billions of dollars, and then the hospice fraud that took place inside California," Shirley said.

"Everyone was saying that was bogus. And then her husband actually tried to take credit for exposing the hospice fraud after I had went and exposed the hospice fraud."

Shirley was referring to Assemblymember Mia Bonta's husband, California Attorney General Rob Bonta, who has not responded to Fox News Digital's request for comment.

"The fraud has been going on for so long. These fraudsters thought they could get away with it for so long that so many people started committing this fraud."

Graphic: X Post

What’s really amazing, though utterly unsurprising, is Shirley is only talking about hospice fraud. That’s only the shrink-wrap packaging on the box of a 100-story-tall fraud package.

To paraphrase Shakespeare, something is rotten in the bluer than blue state of California.

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A well-stocked anti-ICE coalition tent outside New Jersey's embattled Delaney Hall immigration detention center was raided by federal authorities Monday — exposing what activists were keeping inside as mayhem continues to plague the area.

With the race effectively deadlocked, even modest shifts among one group of voters could help determine who emerges from one of the most competitive mayoral primaries Los Angeles has seen in years.

The accessory prevented the $8,300 Schiaparelli dress from dragging on the ground.

The accessory prevented the $8,300 Schiaparelli dress from dragging on the ground.

A source told Page Six that the "Diamonds" singer was "incredibly friendly" and "ordered "a variety of pies" at the establishment.

A source told Page Six that the "Diamonds" singer was "incredibly friendly" and "ordered "a variety of pies" at the establishment.

The Los Angeles Rams may have completed the biggest trade of the NFL offseason, but comments from Cleveland Browns head coach Todd Monken suggest the groundwork for the deal was laid long before it became official.

The Nantucket Unitarian Universalists has read the Declaration of Independence and Bill of Rights inside its church every Fourth of July for the last 25 years.

But there's one catch: Drivers may have to wait longer before getting on the freeway.

Officials have not publicly linked anyone to the fire.

"When she touched him, she called out to him. He was already cold."

Massachusetts Sues UnitedHealthcare Over Alleged $100 Million Fraud

Authored by Sylvia Xu via The Epoch Times,

Massachusetts sued UnitedHealthcare on May 29, alleging the company defrauded the state’s Medicaid program by making seniors appear sicker than they were to secure higher payments.

The company contracted with MassHealth to provide a Senior Care Options—which combines Medicare and Medicaid benefits into one plan—for seniors aged 65 and older.

UnitedHealthcare allegedly received more than $100 million in fraudulent payments from MassHealth between 2015 and 2025, Massachusetts Attorney General Andrea Joy Campbell stated in the complaint.

UnitedHealthcare, a subsidiary of UnitedHealth Group, said the complaint is “meritless and doesn’t accurately describe our Senior Care Options program” in ‌a statement emailed to The Epoch Times.

The legal complaint alleged UnitedHealthcare inflated payment rates in three ways.

Upcoding

Massachusetts paid UnitedHealthcare a per-member, per-month rate for each senior enrolled in the plan based on UnitedHealthcare’s assessments of the member’s health conditions.

UnitedHealthcare allegedly labeled members as having behavioral health disorders such as depression or anxiety, or substance use disorders to gain higher reimbursement rates, according to the complaint, when the members had no diagnosis or treatment on record for such conditions.

An analysis by the attorney general’s office revealed that nearly 30 percent of UnitedHealthcare’s 2014 through 2024 behavioral health assessments lacked any matching medical claims to support the mental health diagnoses reported to the state.

Keeping Overpayments

The insurer’s internal reviews identified that many members were incorrectly placed in the highest and most expensive level of care despite not qualifying for it, according to the lawsuit.

While the company eventually downgraded these members to lower-paying levels, it allegedly failed to inform the state of the prior errors or return the extra money it had already collected.

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Unneeded or Nonexistent Nursing Services

The insurer was paid $1.4 billion for members who did not qualify for the most expensive status, but the insurer justified the rate by submitting assessments claiming members required daily or frequent skilled nursing care, the complaint alleged.

However, an investigation revealed that most of these members neither received nor actually needed the specialized nursing services, according to the complaint.

Out of more than 88,000 assessments for the highest payment level, UnitedHealthcare asserted that 99.3 percent of those members were receiving nursing visits seven days a week. However, the complaint alleged that almost 90 percent of those members had not received a single nursing visit in the week before UnitedHealthcare filed the assessment.

Arguments

A January Senate report accused UnitedHealth Group of using high-tech scanners and a team of specialists to capture profitable, extra diagnoses in beneficiaries to maximize federal payments from the Medicare Advantage program.

The corporation issued a statement that same day, citing studies that it had commissioned to argue that Medicare Advantage saves money for both the government and beneficiaries.

The Attorney General’s Office alleged that these were intentional failures, the result of a “growth at all costs” strategy employed by UnitedHealthcare that incentivized and encouraged field nurses to code MassHealth members as sicker or less able than they were.

Bernadette Di Re, the CEO of UnitedHealthcare’s plan in Massachusetts from 2011 through 2020, allegedly attributed pressure to “cut staff,” “[g]et more numbers,” and “[g]et more money from the state” as the reason she resigned and left the company, the lawsuit stated.

“The state’s managed care plans need to act in good faith on behalf of their members and the financial resources of our state’s Medicaid program. Our investigation found that UnitedHealthcare knowingly violated these obligations by manipulating health assessments to increase its profits,” said Campbell in a statement.

The company responded in a statement: “The Attorney General is simply wrong that Massachusetts seniors with complex care needs should not be receiving the support and services UnitedHealthcare is helping to provide. We remain focused on working with our state partner to help our members live healthier lives.”

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On May 13th, AMO aircrews detected a 25-foot Yola-type vessel northwest of Puerto Rico. The vessel carried three individuals and visible packages. Air and Marine Operations teams continued tracking the vessel through the night with continuous aerial surveillance. On May 14th, two Coastal Interceptor Vessels and a CAMB UH-60 helicopter crew were deployed to intercept...