After Blessing Iwuala received his master's degree in business administration in Nigeria, he put his learning to use opening a medical supply company. When Iwuala teamed up with John Nasky, who ran a medical billing business, the two used Iwuala's company to circumvent Nasky's pervious ban from Medicare payments. Soon, Medicare payments for durable medical equipment left Iwuala "awash in a flood of easy money."
That arrangement netted Iwuala quick cash with little work, but it also landed him in jail when Nasky's fraudulent billing was revealed. Iwuala was sentenced to three and a half years in prison, despite his claims that he was an innocent dupe. On appeal, the First Circuit upheld his conviction in full.