Swear on the Stand

United States v. Akula: Affirming Conviction for Medicare Fraud

June 17, 2026·20 min
Episode Description from the Publisher

This episode consists of a legal opinion from the United States Court of Appeals for the Fifth Circuit regarding the criminal conviction of Dr. Shiva Akula. The court affirmed his conviction on twenty-three counts of healthcare fraud related to a massive scheme involving his company, Canon Healthcare, which bilked Medicare for millions of dollars. Dr. Akula’s appeal focused on the exclusion of his expert witness, the alleged insufficiency of evidence, and the substantive reasonableness of his twenty-year prison sentence. The appellate judges determined that the district court acted within its discretion, noting that the overwhelming evidence proved Akula’s leadership in the fraudulent billing practices. Furthermore, the court upheld an upward variance in his sentencing due to his blatant lack of remorse and repeated violations of court orders. Overall, the document serves as a final judicial validation of the legal proceedings and penalties brought against Akula for his extensive medical billing crimes.

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