‘Wolves In White Coats’: 5 Findings From HHS Report On Pediatric Gender-Treatment Fraud…
The HHS investigation released Aug. 13 suggested pediatric gender surgery providers committed fraud. The report, “Wolves in White Coats: How Doctors and Hospitals Pushed and Profited from the Fraud of ‘Gender Medicine’,” accused 225 healthcare institutions of putting profits and gender ideology over patients. Five key conclusions from that study. HHS Claim Insurance Coding Fraud The HHS investigation found that groups promoting gender surgeries in children pushed hospitals and healthcare workers to use incorrect insurance codes to get paid. HHS used unclear or incorrect “proxy diagnosis codes” instead of gender identity disorder labels, the report said. Doctors often diagnosed “endocrine disorder—unspecified,” allowing cross-sex hormone billing. Insurance companies received $42 million for vague disease diagnoses between 2015 and 2025, according to HHS. Only 71 of 1,480 undefined endocrine patients had it, according to a 2023 University of Iowa Hospitals and Clinics study.
The Manhattan Institute found a 30% increase in such diagnoses between 2020 and 2022, reports HHS. Another common miscoding was “precocious puberty,” which allowed doctors to prescribe and bill insurers for puberty blockers. Between 2015 and 2025, insurers were billed approximately $11 million for 13- to 17-year-olds with this condition. No, puberty happens between 13 and 17, according to the report. Advocates promoted ‘Alternative Diagnosis Codes’ The HHS inquiry found that the World Professional Association of Transgender Health, Planned Parenthood, and others instructed healthcare providers to use “alternative diagnosis codes” unrelated to gender dysphoria. Harvard-affiliated gender clinic Fenway Health advocated “more vague” diagnosis codes but warned that inappropriate coding is illegal. The Campaign for Southern Equality published “Insurance Coding Alternatives For Trans Healthcare” for gender dysphoria patients. The document says most insurance excludes gender therapies unless required by law. The toolbox lists insurer-rejected and recommended codes.
Appealing when insurance rejects coverage is advised in the toolkit. Following three appeals, the case “goes to an outside agency, and is often accepted.” The findings suggest surgical castration for orchialgia—persistent testicular pain. Can you bill an insurance company without raising issues after a mastectomy? Dr. Eithan Haim, study author, called it breast reduction instead of mastectomy. This template is for medical fraud. We must remember that this leads to jail time. This is huge.” Haim was indicted by the DOJ in 2024 for disclosing patient data after accusing a Texas hospital of secretly performing gender surgeries on children. Next year, his lawsuit was unfairly dismissed. Lifelong ‘Captive Patients’ and Revenue Because “captive patients,” as the report called them, need decades-long medical care, gender affirming medicine is profitable. Give a girl testosterone, a boy estrogen.
They’ll stay there forever, right? Adm. HHS Assistant Sec. Brian Christine told The Epoch Times’ sister magazine NTD. According to the article, hormone therapies and procedures may create serious side effects that require more doctor appointments and hospital expenditures. Frequent mental therapy is needed. These treatments cost $25,000 to $75,000 each patient, according to the Human Rights Campaign, which promotes them in youngsters. Surgical procedures can cost $170,000 or more. No hair removal, voice therapy, or reversal expenses are included. The story quoted a young man quoted $200,000 for “facial feminization” surgery. “This new patient cohort—young, insured, or Medicaid-eligible, and requiring perpetual follow-ups—represented a strategic growth area,” the report found. Endocrinology and surgery gained volume and prestige, while hospital administration received a regular funding stream for lower-margin services. Research forecast $120 million in industry sales since 2019. The Biden Administration.
The article alleged President Joe Biden persuaded hospitals to perform youth gender operations, frightening them. The Biden administration said the Affordable Care Act required healthcare personnel to refuse gender treatments as “discrimination on the basis of sexual orientation and gender identity.” A Biden-era HHS study warned, “Attempts to restrict, challenge, or falsely characterize this potentially lifesaving care as abuse is dangerous.” Approach was complex. The EEOC informed companies that insurance couldn’t exclude such operations. Gender dysphoria may be covered by disability-based discrimination laws, according to HHS, DOJ, and DOE recommendations, regulations, and lawsuits. The OPM mandated federal insurer coverage for the operations. HHS said that the NIH spent $10 million exploring gender surgery’ effects on youngsters. Trump reversed Biden’s gender efforts in his second term. FTC sued World Professional Association for Transgender Health for providing adolescent gender therapies that don’t help mental health. In June, WPATH labeled the complaint “a relentless and targeted campaign to undermine gender-affirming care.” Vance Requests Probe After the story, Vise President JD Vance requested a Justice Department fraud inquiry. In an Aug. 13 social media video, Vance stated, “These allegations are crazy, and they demand investigation.” Fenway Health indicated in an advise that miscoding to mislead insurance is illegal and Medicaid is a larger liability risk owing to the Federal False Claims Act. The government can be sued for triple damages and other financial penalties under that law.
If the tobacco companies tried to get on a school campus to convince children to smoke, they would never be allowed. If the breweries showed up and tried to convince under-age children to start drinking, parents would be up in arms. If health classes started teaching kids to overeat, or shop classes started teaching students how to build bombs, society would be outraged.
Yet pro-homosexual groups are encouraged to come to schools and teach young children how nice and normal homosexuality is. Today children are actually being indoctrinated about the benefits of homosexuality, in spite of the fact is has been proven to be an unhealthy lifestyle.
