Understanding Pharmacy Fraud: Lessons from the Houston ACFE Lunch

The Houston Chapter of the Association of Certified Fraud Examiners met last week to discuss medical fraud, particularly as it relates to pharmaceuticals. And with former LEAP Ambassador Bianca Saldierna on the Houston ACFE Board, LEAP students found themselves at the Tanglewood Ballroom alongside approximately 25 certified fraud examiners to discuss pill mills, pharmacy shopping, and the black market.

Following an introduction by Robert Rodgers, the Director of ACFE’s In-Person events…

…featured speaker Yasir Shakoor offered an interesting–and even entertaining–discussion of the diverse types of pharmacy fraud over lunch.

Mr. Shakoor has both a BA and an MHC in Health Care Administration, and he is also a Certified Fraud Examiner, and he was clearly qualified to discuss the different types of fraud.

Following a discussion of common myths and an emphasis on the costs associated with pharmacy fraud, Shakoor made a distinction among (1) fraud–falsely representing services rendered; (2) waste–not reasonably conserving resources; and (3) abuse–which may involve exploiting gray areas in laws or policies and, while perhaps not illegal, is unethical and costly.

The case studies were perhaps the most interesting component of the presentation.

Examples included (1) an individual who hacked into an e-prescription service and issued 18,500 prescriptions (in one day) to purchase sport cars, basketball tickets, and to be “entertained” at strip clubs, (2) a doctor who would offer opioids for the flimsiest of pretenses, and (3) underground organizations that offered substandard, black-market drugs (or, sometimes, just any substance available) in place of the specified medication. It is frightening, costly, and, often, deadly.

Apart from the educational aspects of the lunch, our major reason for attending was to see Bianca Saldierna.

A key LEAP Ambassador in 2016-2017, Ms. Saldierna has remained involved in her alumni years, and she generously invited us to attend this event. With many thanks to Bianca and to ACFE, we eagerly await our next such lunch!

Exploring O’Henry’s Home: A Trip Through Literary History

This past month, I toured the O’Henry Home. Upon entering, I was greeted by Spike Gillespie, a kind and knowledgeable staff member from the City of Austin’s Museums and Cultural Programs. She shared key details about William Sydney Porter’s life, explaining that he lived in this house from 1884 to 1894 before fleeing to Honduras due to corruption allegations at his workplace, the First National Bank of Austin. A few years later, he returned to the U.S. under an alias—O’Henry—the pen name that would bring him literary fame.

The small home consists of three main rooms: the living room…

…the bedroom…

…and O. Henry’s office.

As I walked through, I enjoyed learning fascinating tidbits about his life and work. His experience drafting maps at the General Land Office in Austin resonated with me, as I’ve encountered the GLO while assisting the Land and Resource Committee in my office.

Although modern technology has replaced hand-drawn maps, I appreciated the small connection I felt while standing in O’Henry’s office.

As I continued walking through the home, I found myself amused with framed sketches located right outside O’Henry’s office. Later, Spike informed me that during his lifetime, O’Henry became a self-taught artist, focusing largely on political cartoons, which were featured in The Rolling Stone magazine. Most of his artwork throughout the home feature a mixture of political cartoons and the life of American settlers.

Spike also shared insights into how his time in Austin shaped his storytelling. Many of his short stories reflect themes of redemption, irony, and human nature, qualities that may have been influenced by his own struggles. His most famous work, “The Gift of the Magi,” showcases his signature twist endings, a style that would make him one of the most celebrated short story writers in American literature.

Beyond his literary contributions, O’Henry’s influence on Austin is still evident. His home, now preserved as a museum, serves as a reminder of the city’s rich cultural history.

Creative writing workshops hosted by individuals like Spike encourage Austinites to expand their writing skills and explore writing techniques utilized by famous writers such as O’Henry.

Visiting the O’ Henry Home provided me with insight that was much greater than a historical tour, it was a glimpse into the life of a man who turned adversities into art, which brought people together. His legacy lives on not only in his stories but also in the continued appreciation of his wit and literary style.