Buy My Book Here

Fox News Ticker

Please check out my new books, "Bullied to Death: Chris Mackney's Kafkaesque Divorce and Sandra Grazzini-Rucki and the World's Last Custody Trial"

Showing posts with label Wellcare. Show all posts
Showing posts with label Wellcare. Show all posts

Thursday, February 14, 2008

Dr. Andy and the Media: Corruption Meets Incompetence Meets Corruption (Updated)

(Updated with the photo following a perceptive comment by a reader)
Introduction

Dr. Andrew Agwunobi, or Dr. Andy as colleagues called him, has traveled a long and winding road. He has frankly commited an obscene amount of corruption and worse yet, he has done it in all parts of the country. Agwunobi came to Atlanta's South Fulton Hospital as CEO immediately before a JCAHO report that gave the hospital passing but marginal grades. He left that hospital about two years later three months prior to another JCAHO report that failed it, suspended the hospital, and forced a total restructuring. He moved on to Grady Hospital, one of the largest hospitals in the world and the largest in America targeting the poor. A year after he arrived the Department of Health and Human Services issued a report that concluded


Grady presents an immediate and serious threat to the health and safety of the
patients

He was removed as CEO of Grady in the aftermath of the report only to wind up as COO at St. Joseph's, a network of hospitals across the country in California. He only managed to stay at St. Joseph's for just over year before he moved back to Florida to serve on the board of WellCare. He only managed to stay at WellCare for six months before cashing out one million dollars worth of stock options and moving on to become the head of the Florida Agency for Health Care Administration. His first order of business was investigating his most recent employer. Nine months into his tenure his agency was one of several that raided WellCare and the stock plummeted in aftermath. He was eventually investigated for his dubious maneuvers at WellCare and AHCA, and has recently resigned. He didn't resign without a new gig though, as he has already been offered a position as the COO of Providence Health and Services, another network of hospitals in Seattle.

If you just read the introduction, you are probably wondering just how he could have gotten away with so much corruption in so many places, and why he is still able to continue to get a job despite all of this overwhelming evidence of his own incompetence and corruption. The most obscene part is that it took me about thirty minutes of searching Google, the JCAHO website, and around the rest of the internet to determine and verify all of this information. If I am able to easily pin point so much corruption from one individual, why was he able to get away with it for so long in so many places and furthermore why is he continuing on his path? Whenever there is this much corruption, anywhere, it is with the tacit or even active approval of the media around it. In other words, Agwunobi was able to commit all of this corruption because the media around him refused, for whatever reason, to report on what should have been obvious.

A google search of Agwunobi's departure from South Fulton nets only 83 articles. Many of them come years later, and none of them mention the JCAHO report that was filed in the immediate aftermath of his departure. What that means is this. Even though the findings of JCAHO were a matter of public record and could be located with a quick search of their website (the way I found them) no one in the Atlanta area media bothered to investigate this guy, and ask a very simple question...if he ran a fairly small hospital into the ground why is he offered the top job at a very large hospital? Because no one asked no one knew.

To this day, much of the press relating to his time at Grady Hospital is largely positive. Here is one piece published in the immediate aftermath of his departure.


Agwunobi joined Grady on June 1, 2003. Dr. Andy, as he has become affectionately known, has been on the forefront of change for the health system during a very difficult period faced with financial challenges."We have been fortunate to have had the leadership, energy and skills of this remarkably talented individual at the helm of Grady during this sensitive period in the history of the health system," Brown said. "He will leave a legacy to be remembered and admired."

During his short tenure, Agwunobi negotiated the potential merger of Hughes Spalding Children's Hospital with Children's Healthcare of Atlanta, launched a public information and transparency campaign to raise awareness and brand the health system, oversaw a portfolio analysis with KPMG to identify financial strengths and weaknesses in all service areas in Grady, created a plan to grow revenues within the profitable service areas to help fund the mission of Grady Health System, created a plan to eliminate services to the uninsured who live outside DeKalb and Fulton counties, served as a catalyst for philanthropic support, improved pharmacy operations and won much recognition and praise.Grady's new interim chief also has a list of accomplishments and awards that are numerous. They include being the past chairman of the board of the Georgia Hospital Association, past regent of the American College of Healthcare Executives, service on the regional policy board of the American Hospital Association, the board of the Atlanta Chamber of Commerce and the board of the Georgia Chamber of Commerce.

Now, what you aren't going to find in this piece is any reference to the scathing HHS report that ultimately cost him his job. The reason for this is even more sinister. This report got almost no media attention in the Atlanta area when it was released. The people didn't know that Agwunobi was responsible as CEO for conditions that lead to this conclusion


the conditions at Grady Hospital pose a serious and immediate threat to the health and safety of the patients

That's because the people of Atlanta largely didn't know about the report at all. The HHS report received nothing more than a byline at the Atlanta Journal Constitution. In fact, the AJC never asked for or published the actual contents of the report. The AJC mentioned the conclusions in a by line and never bothered to explain any of the specifics of the report. Agwunobi wasn't held responsible for the contents of this report because the media didn't even bother to report on the report in the first place.

Given that Agwunobi had now managed to successively run two hospitals into the ground it might have made sense for someone to ask how it was that he got a promotion. After all, it couldn't possibly have been performance. Why exactly did St. Joseph's hire given his track record? Now, I have seen the contents of the HHS report and Agwunobi is only one of several people to be held responsible for its scathing conclusion. In fact, his responsibility is less than several people that stayed on at Grady. Yet, he was the only one to leave. If I had to speculate, I would say there was a quid pro quo, however I can only speculate because no one bothered to investigate how it all went down.

In fact, the media portrayed Agwunobi's tenure at Grady Hospital as largely positive. Here is an example.



Orange-based St. Joseph Health System, which runs three of the largest hospitals in the county, has hired a 40-year-old pediatrician and healthcare administrator as its new chief operating officer.


Andrew Agwunobi, who goes by "Dr. Andy," replaces Jeffery FIocken, who left St. Joseph in June. Agwunobi comes to St. Joseph from Grady Health System in Atlanta, where he oversaw a turnaround of hospital and clinic operator as chief executive since 2003.

Again, let's keep in mind that this so called turnaround climaxed with this conclusion...


the conditions at Grady Hospital present a serious and immediate threat to the health and safety of the patients.

Neither these conclusions or his contribution to them were ever explored by this article or frankly any of the media in California. Agwunobi was able to arrive at St. Joseph's and run a network of hospitals despite a track record that included running a small hospital into the ground and then a large one. Not only was his record never disected, but frankly, articles like this painted his record as positive.

He moved on the St. Joseph's and stayed largely under the radar there as well. He stayed so under the radar that to this day it is unclear why he stayed for such a short time and what made him leave. Agwunobi moved his family cross country to take a very lucrative position. Why in the world would he leave only about a year later and move his family cross country again. To this day no one knows the answer to that.

His move from St. Joseph's to WellCare and his subsequent departure from there also stayed largely under the radar. In fact, my one and only source for his malfeasance at WellCare is Pharma Fraud. (If anyone else reported on these facts, I can't find them). While I consider the author of Pharma Fraud to be a hero on this story, it is a sad commentary when a blogger is breaking news this big. In fact, while both Pharma Fraud and I were reporting Agwunobi's role in WellCare as well as his sordid history, the Florida media stayed largely silent. Again, a Google search of articles of Dr. Andrew Agwunobi and WellCare largely finds things that Pharma Fraud and I published and anything else has only been published since he re signed. The Florida media stayed nearly silent while this obvious corruption was right in front of them. You won't find any articles from any of their newspapers asking the questions Pharma Fraud and I were asking months ago.

This brings me to the present. Even after all of this has now come to light, the media continues to act with a naked corruption that leaves me scratching my head. Let's take a look at two articles as an example.


Agwunobi's resignation comes as the feds look into WellCare Health Plans. Agwunobi served for six months on the WellCare board and when he went to work for Crist, the Wall Street Journal reported that he cashed in $1 million worth of stock options and netted between $400,000 and $500,000. The CEO of WellCare, Todd Farha, announced his resignation in late January.

Here is the other one.


The current AHCA Secretary, pediatrician Andrew Agwunobi, will become regional CEO of Providence Health and Services, a Catholic hospital system in Washington State. AHCA spokesman Doc Kokol said Agwunobi had been unable to unite his family in Tallahassee and tired of commuting to Atlanta each weekend to see his wife, also a physician, and two young daughters. The entire family will be reunited in the move to Washington state, Kokol said. Crist praised Agwunobi’s work during his 13 months at AHCA. “He’s done a tremendous job opening windows to health care for a lot of people ...," Crist said. "I am very grateful for that.”

In other words, it is concurrently a matter of public record that Agwunobi is not only stepping down to spend more time with his family but also then moving that same family cross country to take another job. Maybe, I am the one that is obtuse, but that just makes no sense.

Given all of the corruption that this man has committed that is a matter of public record, you would also expect the Seattle Post Intelligencer and other Seattle media to ask how and why he got hired at all. Of course, those expectation would be giving those organizations too much credit. As of yet, the Intelligencer hasn't published anything about Agwunobi. This will be the fifth high level job for Agwunobi in five years, and the Intelligencer has no interest in investigating how that happened. He is about to be unleashed on the health care system of Washington, after already leaving a trail corruption in Georgia, California, and Florida, and no one in the media there is bothering to do the five minutes of leg work it would take to expose him before he gets there.

If you want to know why Agwunobi has been able to commit so much malfeasance and stay under the radar, there is your answer.

Tuesday, February 12, 2008

An Update on Dr. Andrew Agwunobi

It appears that the rest of the media has finally caught up to what I broke, along with Pharma Fraud, months ago. Dr. Andrew Agwunobi appears to be knee deep in the scandal at Well Care. I first heard of Dr. Andrew Agwunobi (here is the original) as the one time CEO of Grady Hospital during the years 2003-2004. In fact, Dr. Andrew Agwunobi has travelled quite the road.





He first popped up on the radar as the CEO of South Fulton, a relatively small Atlanta Hospital for the poor. When he walked into South Fulton, they were receiving marginal but passing grades from JCAHO. He walked out three months prior to a JCAHO report that failed the hospital and put them on probation. He then moved on to become the CEO of Grady Hospital, one of the largets hospitals in the country (and certainly the largest to serve the poor) Just over a year after he began his tenure at Grady, HHS issued a report that concluded this,





there is a serious and immediate danger to the health and safety of the patients.






So after running two separate hospitals into the ground, Dr. Agwunobi moved onto the next logical step in any such career path: he was given the job of COO of a network of hospitals at St. Joseph's in California. Here the story gets murky. He moved his family cross country and took what had to be a well paying job. For reasons that are still unclear he only stayed there for about a year before he moved his family back across country to Florida. This time he became a member of the board of WellCare. He only stayed at this job for about six months. He did cash out for a million bucks before he left though. Here is how Pharm Fraud described it...





Over the course of the past year, WellCare has lost both its chief medical officer and its top executive in Florida - the company's largest market - without offering any clear explanation for their exits. Yet, with the company under intense government scrutiny, a third departure has started looking even more telling to some.



Upon leaving WellCare, Agwunobi cashed out options and stocks for a $1 Million profit.



WellCare seemed to appreciate Agwunobi more than the board member he replaced. That director, Glen Johnson, had to forfeit his own unvested equity awards upon vacating his board seat.






Upon leaving WellCare, he took a job with the Florida Agency for Health Care Administration. His first order of business was to investigate his former employer, WellCare. His agency was one of ten that lead a raid on WellCare about eight months after he left the company. Things worked out for Agwunobi's stock options because in the immediate aftermath of the raid the stock plummetted.









The whole thing seemed fishy to me. Not only was he changing jobs constantly, not something you expect from a high level manager, but he seemed to always be leaving a mess behind him. He moved cross country twice in about a year and half and wound up nearly right where he started from. To top it off, he leaves WellCare with a parachute and then investigates the company and watches their stock plummet.

The story remained stagnant despite overwhelming proof of serious malfeasance. That was until just recently. Here is the latest.

The governor says the departure of Dr. Andrew Agwunobi from the Agency for Health Care Administration has nothing to do with a federal investigation.

Agwunobi's resignation comes as the feds look into WellCare Health Plans. Agwunobi served for six months on the WellCare board and when he went to work for Crist, the Wall Street Journal reported that he cashed in $1 million worth of stock options and netted between $400,000 and $500,000. The CEO of WellCare, Todd Farha, announced his resignation in late January.


I won't pretend to get into anyone's head, however Agwunobi's family situation is the same as it always was. What isn't the same is that the folks in Florida are finally paying attention to things I had been pointing out months ago.

Sunday, December 23, 2007

More Malfeasance at Wellcare

The hat tip goes to Pharma Fraud blog for bringing this to my attention. My initial interest in the story centered around Dr. Andrew Agwunobi, former CEO of Grady Hospital. Now, Dr. Agwunobi appears to me at least to have some explaining to do vis a vis Wellcare. He arrived there in early 2006 to serve on the board. He only stayed about six months. He cashed out for about a million bucks worth of options. He then took over at the AHCA of Florida, and suddenly the AHCA is one of the bureaus involved in investigating his former employer Wellcare. That doesn't pass the sniff test.

The scoop from Pharma fraud also leaves a malodorous odor. Sandy Murman (pictured right) was a Florida State Representative for Hillsborough until March 2005. Then, she became a lobbyist for Wellcare and subsequently politicked her way onto the newly formed county Health Care Plan Study Group. According to Pharmafraud, that wasn't revealed while she politicked to get on the board.

Wellcare had plenty of incentive to have one of their own on this board. Here is what their CEO said in February 2005. (Imtiaz "MT" Sattaur would be the CEO)
We (WellCare) are interested in pursuing bidding for Hillsborough County's indigent care program.

Once it came to light that Murman had ties to Wellcare, there became a political battle over her role in the group. She was ultimately removed in June of 2005. (Here are notes from the meeting)

Now, it appears that Murman has made totally contradictory statements regarding Wellcare in two separate interviews. (Here is a link to the first one)

Sandy: “But I would say when you have 200 agents go into an office they have a finding of something… that probably there’s something wrong. And our state needs to be really concerned about that.”PF: Considering Sandy’s strong alliance to WellCare, her comments seem especially potent.
(Here is a link to the second one)


Sandy: “I was shocked, absolutely shocked, because obviously WellCare is one of the top 5 companies in the nation.”PF: In which category might one include WellCare among the top 5?Sandy: “You’ve got a company that has grown really big really fast, and it always leads to a suspicious cloud. How did they get… you know, how did they grow that fast.”PF: The most favorable statement about WellCare came from reporter Don Germaise, who attributed the following quote to Murman, “Sandy Murman says thatWellCare Is a very ethical company and its CEO would never knowingly break the law.”
Lot's of questions. Stay tuned...

I started following the goings on at WellCare as a result of my initial interest in the mess at Grady Hospital. I firmly believe that this WellCare scandal is thoroughly underreported and I will do my part to get this story out, however my main priority is breaking the scandal at Grady Hospital. Thus, I have put together a summary of the entire fiasco that tries to put all of its moving parts together in one piece. Please read it for guidance. See, how this relates to that crisis.

Dr. Andy: The Follow Up

I will give a very big hat tip to Pharma Fraud. Last week, I published a piece on Dr. Andrew Agwunobi. Dr. Agwunobi has had quite a wild professional ride in the last few years. He took over a subpar hospital in Atlanta called South Fulton and two years later, under his leadership, the hospital went from being merely subpar to failing the standards of the governing board. He then moved onto Grady Hospital, the biggest hospital in Georgia and one of the biggest in the Southeast, and within about a year the HHS finished an investigation of that hospital. The findings concluded this,

an immediate and serious risk to the health and safety of the patients.

Despite a pattern of incompetence or corruption or both, Dr. Andy moved on cross country to run a chain of hospitals in California called St. Joseph's. Despite moving cross country to California, his stint there was short, only about a year, though it is unclear why he left such a lucrative position.

I picked up the story with Dr. Andy now in charge of the AHCA in Florida, which is a government bureau who's job it is to provide quality health care to the poor.

Pharma Fraud found another employer in between St. Joseph's and the AHCA. They pick it up here.

Last December, Andrew Agwunobi ended a brief stint on WellCare's board to become the top healthcare regulator in the company's home state of Florida . Agwunobi now leads the Florida Agency for Health Care Administration, which has partnered with the state's Medicaid Fraud Control Unit - a participant in last week's raid on WellCare - in an effort to stamp out corporate wrongdoing.

Agwunobi foreshadowed things to come, when on Friday October 19, just 5 days before the WellCare raid, he said in a Miami press conference that he commissioned a tough new look at fraud when he took over as secretary for the Agency for Health Care Administration. ''We targeted South Florida,'' he said, "the area with the single largest amount of Medicaid fraud in the country.''

Agwunobi declared that it was now ''open-season'' on anyone committing Medicaid fraud in South Florida. (More Medicaid fraud suspected in S. Fla.)

Here is the most interesting part from Pharma,

Upon leaving WellCare, Agwunobi cashed out options and stocks for a $1 Million profit.Let's review what Pharma has uncovered. Dr. Andy left a fairly short stint at St. Joseph's to take on another fairly short stint at WelCare. After six months, he leaves and simultaneously cashes out about a million dollars in options. He moves to a position in the state government, and promptly turns around and begins an investigation of the very organization he just left.

There are three words and phrases that come to mind when reading this: conflict of interest, appearance of impropriety, and in spades. This makes five employers in under six years for Agwunobi and the circumstances of his departures from all of them is well peculiar. Maybe someone in Florida can start asking some questions about his fitness for his job.