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Submit News, Articles and Case Studies To iPMI Magazine

iPMI Magazine provides premium and freemium content delivery solutions specifically tailored to the international private medical insurance market.

Using the latest technology, iPMI Magazine delivers critical iPMI business communications to an eclectic worldwide readership, from international medical payor to global service provider. 

iPMI Magzine News classifications include:

Write to ipmi[at]ipmimagazine.com to learn more, or to submit content. 

About iPMI Magazine

Due to the nomadic nature of the international private medical insurance (IPMI) industry, iPMI Magazine is an internet based news service for worldwide insurance and assistance professionals who need to understand the impacts of insurance and healthcare policy, regulatory, and legislative developments.

Over 40,000 senior level business decision makers, in over 120 countries, rely on iPMI Magazine to stay 1 step ahead of the risk and on the inside track of international PMI. Covering business travellers, high net worth individuals, expatriate and leisure travel markets, iPMI Magazine is the only international news source covering the most exciting sector of international health insurance: international private medical insurance.

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Global Excel Management Inc. Acquires Hines & Associates, Inc.

Global Excel Management Inc. is pleased to announce it will acquire the business of Hines & Associates, Inc. (Hines) effective July 1, 2021.

With this acquisition, Global Excel reinforces its position as a leading supplier of healthcare risk management solutions globally and in the U.S. market. Hines will continue doing business under its current brand name and Steve McClung, previously Global Excel’s Senior Vice President of Technology & Innovation, has been named the new CEO.

“Hines has built a very strong reputation providing case, utilization and disease management services focused on the U.S. market,” said Reg Allatt, CEO of Global Excel. “Global Excel’s core values include customer service excellence and commitment to people – attributes we see reflected clearly at Hines. Moving forward we will continue our strategy of expanding the depth of our risk management services, our client base, as well as our geographic presence through continued profitable organic growth and qualified acquisitions.”

As noted by Steve McClung, “This partnership widens the range of services we offer in the U.S. healthcare market and fully compliments the services currently offered by our US-based subsidiary, Opus MedStrategies Inc. Delivering a comprehensive range of healthcare risk management services, which exceeds our clients’ expectations, has always been our primary focus. I’m looking forward to working together with the excellent team at Hines, learning about the unique needs of their clients and how we can enhance the value of the services we currently provide, building on the history of strong relationships and customer focus they have established over the years.”

“We look forward to joining Global Excel and leveraging our combined resources and expertise to enhance our service offering,” said Judy Hines, President of Hines. “We have always had a very client-centric approach and the Hines team prides itself on its independence, service and customer satisfaction. In an industry that truly revolves around people, these factors have been fundamental to our success. We believe Global Excel’s experience with customized risk management solutions and commitment to high quality growth will greatly benefit our clients by allowing us to better serve their unique and complex needs.”

Over the coming months the goal of both management teams will be continuing to focus on providing the highest level of service to our respective clients. Simultaneously Global Excel, Opus MedStrategies and Hines will focus on identifying those synergies which will bring added value to existing clients and allow them to extend their service offering to new markets and clients.

 

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QHM (Quality Health Management) Partners With MORE Health To Offer Global Access To Medical Second Opinions

A collaboration between QHM - Quality Health Management, a global medical cost containment leader, and MORE Health, an expert medical second opinion and collaborative diagnosis service, now offers an advanced second medical opinion (SMO) solution for client companies of QHM.

Today, clients of QHM will have easy access to a world-leading second opinion service when making decisions regarding serious life-changing illnesses. Upon client activation, QHM virtually connects the patient's attending doctor with a MORE Health Physician Specialist to jointly develop a comprehensive collaborative diagnosis together with the optimum treatment plan via MORE Health’s outstanding panel of subject matter physician experts in leading centers of excellence around the globe.

"Through this expert collaboration, QHM is pleased to expand its offering with an innovative next-generation second opinion medical opinion solution for its many clients globally," said Sven Thorslund, Quality Health Management’s Sales Director.

"As a care-conscious innovator, MORE Health offers a technology-driven collaborative approach to diagnosis and delivers the most effective treatment plan possible," adds MORE Health's Vice President Strategic Partnerships, Pam Frank. "Patients value understanding their options, payors appreciate more clarity, and medical experts at centers of excellence favor our leading-edge imaging and technologies. Our global mindset and culture of caring align very well with QHM to bring cross-border health management to new levels."

"The MORE Health service ensures that patients have the correct diagnosis, minimizing any chance of error, and allows them to understand the best possible treatment options before making a decision on the best path forward. This service provides much needed peace of mind for patients and the inclusion of these benefits represents significant added value, savings, and differentiation for health plans, reinsurers and other stakeholders, Thorslund further commented.

Watch a quick QHM video highlighting the many advantages of second medical opinions.

About QHM International

Headquartered in Miami, FL, QHM - Quality Health Management (QHM) is a medical cost containment company offering specialized services to global healthcare insurers, reinsurers, and governments. QHM has been guiding the global needs of clients, payers and patients with PPO, administrative, and specialty services since 2000. With exceptional experience and expertise in managing the access, quality, and costs of global healthcare, QHM helps protect clients’ bottom line and customer experience through effective and flexible boutiques style solutions for savings and service. For more information, please visit www.qhmanagement.com.

About MORE Health

MORE Health, a global digital health company, provides peace of mind and confidence to patients when they need it most—when facing a serious life-changing illness. Delivering second medical opinions virtually, MORE Health delivers a diagnosis and recommended treatment plan from the world’s best medical minds. Offering all the benefits of a second opinion, the service ensures that the attending doctor and the expert physician specialist are aligned through their proprietary, GDPRHIPPA-compliant Physician Collaboration Platform™. Since 2013, MORE Health has helped patients on six continents and continues its mission to provide clients and their members access to the best medical minds in the world—when they need it most. To learn more, visit www.morehealth.com.

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New Frontier Group Signs New Agreement With International Assistance Group (IAG) For US Cost Containment

New Frontier Group, the award winning US medical cost containment company has signed a new Preferred Provider Services Agreement to deliver medical cost containment and assistance support to IAG Partners who have travel and health insurance customers who require medical treatment in the United States.

Under the terms of the agreement, New Frontier Group will employ its 24/7 team and state of the art IT platform to help IAG Partner companies access the most appropriate and cost-effective treatment at hospitals and clinics across the US.

“The global travel insurance market is extremely competitive, and it is essential that insurers and assistance providers look for every advantage they can find in terms of enhanced services and cost control,” said Randall L. Condie, Chief Operating Officer with New Frontier Group. “Our job is to reduce our clients’ costs in the US, and we are confident that our IAG Partner clients will see significant savings.”

Louise Heywood, General Manager, IAG sees the recommendation of key service providers as one of the primary functions of the organisation. “By accessing and pooling the resources and expertise that we have within our network, our advisory team made up of key IAG partners are able to identify the best performing providers for the services our members need.”

About New Frontier Group

New Frontier Group is a multiple award-winning US medical claims management and cost containment company which supports some of the largest insurance and assistance groups in the global health and travel industry.

With access to the very best US networks along with outstanding in-house claims arbitration, New Frontier Group helps its clients to achieve market leading savings on their medical bills, resulting in improved loss ratios and increased bottom line profitability.

About International Assistance Group

International Assistance Group is the world’s largest alliance of independent assistance companies and accredited providers. IAG Partners specialise in worldwide roadside, medical, travel, corporate and home assistance for business and leisure travellers, expatriate workers and corporate clients. IAG Partners & Accredited Service Providers currently support over 118 million end users worldwide.

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How To Submit News, Articles and Case Studies To iPMI Magazine

iPMI Magazine provides premium and freemium content delivery solutions specifically tailored to the international private medical insurance market.

Using the latest technology iPMI Magazine can deliver critical business communications to an eclectic worldwide readership from international medical payor to provider. 

News classifications include:

Write to ipmi[at]ipmimagazine.com to learn more or to submit content. 

About iPMI Magazine

Due to the nomadic nature of the international private medical insurance (IPMI) industry, iPMI Magazine is an internet based news service for worldwide insurance and assistance professionals who need to understand the impacts of insurance and healthcare policy, regulatory, and legislative developments. Over 40,000 senior level business decision makers, in over 120 countries, rely on iPMI Magazine to stay 1 step ahead of the risk and on the inside track of international PMI. Covering business travellers, high net worth individuals, expatriate and leisure travel markets, iPMI Magazine is the only international news source covering the most exciting sector of international health insurance: international private medical insurance.

Read more...

National Health Care Fraud Takedown Results In Charges Against 601 Individuals Responsible For Over $2 Billion In Fraud Losses

Attorney General Jeff Sessions and Department of Health and Human Services (HHS) Secretary Alex M. Azar III announce the largest ever health care fraud enforcement action involving 601 charged defendants across 58 federal districts, including 165 doctors, nurses and other licensed medical professionals, for their alleged participation in health care fraud schemes involving more than $2 billion in false billings. Of those charged, 162 defendants, including 76 doctors, were charged for their roles in prescribing and distributing opioids and other dangerous narcotics.

Thirty state Medicaid Fraud Control Units also participated in the arrests. In addition, HHS announced that from July 2017 to the present, it has excluded 2,700 individuals from participation in Medicare, Medicaid, and all other Federal health care programs, which includes 587 providers excluded for conduct related to opioid diversion and abuse. 

Attorney General Sessions and Secretary Azar were joined in the announcement by Acting Assistant Attorney General John P. Cronan of the Justice Department’s Criminal Division, Deputy Director David L. Bowdich of the FBI, Assistant Administrator John Martin of the Drug Enforcement Administration (DEA), Deputy Inspector General Gary Cantrell of the HHS Office of Inspector General (OIG), Deputy Chief Eric Hylton of IRS Criminal Investigation (CI), Centers for Medicare and Medicaid Services (CMS) Deputy Administrator and Director of the Center for Program Integrity Alec Alexander and Director Dermot F. O’Reilly of the Defense Criminal Investigative Service (DCIS).

The enforcement actions were led and coordinated by the Criminal Division, Fraud Section’s Health Care Fraud Unit in conjunction with its Medicare Fraud Strike Force (MFSF) partners, a partnership between the Criminal Division, U.S. Attorney’s Offices, the FBI and HHS-OIG.  In addition, the operation includes the participation of the DEA, DCIS, IRS-CI, Department of Labor, other various federal law enforcement agencies, and State Medicaid Fraud Control Units.  

The charges announced aggressively target schemes billing Medicare, Medicaid, TRICARE (a health insurance program for members and veterans of the armed forces and their families), and private insurance companies for medically unnecessary prescription drugs and compounded medications that often were never even purchased and/or distributed to beneficiaries. The charges also involve individuals contributing to the opioid epidemic, with a particular focus on medical professionals involved in the unlawful distribution of opioids and other prescription narcotics, a particular focus for the Department. According to the CDC, approximately 115 Americans die every day of an opioid-related overdose.   

“Health care fraud is a betrayal of vulnerable patients, and often it is theft from the taxpayer,” said Attorney General Sessions. “In many cases, doctors, nurses, and pharmacists take advantage of people suffering from drug addiction in order to line their pockets. These are despicable crimes. That’s why this Department of Justice has taken historic new steps to go after fraudsters, including hiring more prosecutors and leveraging the power of data analytics. Today the Department of Justice is announcing the largest health care fraud enforcement action in American history.  This is the most fraud, the most defendants, and the most doctors ever charged in a single operation—and we have evidence that our ongoing work has stopped or prevented billions of dollars’ worth of fraud. I want to thank our fabulous partners with the FBI, DEA, our Health Care Fraud task forces, HHS, the Defense Criminal Investigative Service, IRS Criminal Investigation, Medicare, and especially the more than 1,000 federal, state, local, and tribal law enforcement officers from across America who made this possible. By every measure we are more effective at finding and prosecuting medical fraud than ever.”

“Every dollar recovered in this year’s operation represents not just a taxpayer’s hard-earned money—it’s a dollar that can go toward providing healthcare for Americans in need,” said HHS Secretary Azar.  “This year’s Takedown Day is a significant accomplishment for the American people, and every public servant involved should be proud of their work.”

According to court documents, the defendants allegedly participated in schemes to submit claims to Medicare, Medicaid, TRICARE, and private insurance companies for treatments that were medically unnecessary and often never provided.  In many cases, patient recruiters, beneficiaries and other co-conspirators were allegedly paid cash kickbacks in return for supplying beneficiary information to providers, so that the providers could then submit fraudulent bills to Medicare.  Collectively, the doctors, nurses, licensed medical professionals, health care company owners and others charged are accused of submitting a total of over $2 billion in fraudulent billings.  The number of medical professionals charged is particularly significant, because virtually every health care fraud scheme requires a corrupt medical professional to be involved in order for Medicare or Medicaid to pay the fraudulent claims.  Aggressively pursuing corrupt medical professionals not only has a deterrent effect on other medical professionals, but also ensures that their licenses can no longer be used to bilk the system.

“Healthcare fraud touches every corner of the United States and not only costs taxpayers money, but also can have deadly consequences,” said FBI Deputy Director Bowdich.  “Through investigations across the country, we have seen medical professionals putting greed above their patients’ well-being and trusted doctors fanning the flames of the opioid crisis.  I want to thank the agents, analysts and our law enforcement partners in every field office who work each and every day to stop these criminals and hold them accountable for their actions.”

“DEA is committed to ending the opioid crisis occurring in our communities and preventing prescription drug misuse,” said DEA Assistant Administrator Martin.  “DEA will continue to work with our partners every day to protect our citizens while ensuring that patients have adequate access to these critical medications.”

“This year’s operations, focusing on opioid-related schemes, spotlight the far-reaching impact of health care fraud,” said HHS Deputy Inspector General Cantrell.  “Such crimes threaten the vitally important Medicare and Medicaid programs and the beneficiaries they serve.  Though we have made significant progress in our fight against health care fraud; our efforts are not complete.  We will continue to work with our partners to protect the health and safety of millions of Americans.”

“It takes a special kind of person to prey on the sick and vulnerable as happened in many of these health care fraud schemes,” said Deputy Chief Hylton.  “Medical professionals and others callously placed individuals and vital healthcare services in harm’s way simply because of greed.  IRS-CI special agents continue to work side-by-side with other federal, state and local law enforcement officers to uncover these schemes and hold these criminals accountable for their actions.”

“CMS makes it a top priority to protect the health and safety of millions of beneficiaries who depend on vital federal healthcare programs,” said Alec Alexander, deputy administrator and director of the Center for Program Integrity.  “CMS’ Center for Program Integrity collaborates closely with our law enforcement partners to safeguard precious taxpayer dollars. Under Administrator Seema Verma, we will continue to strengthen this partnership with law enforcement in order to ensure the integrity and sustainability of these essential programs that serve millions of Americans.”

“Heath care fraud wounds our service members and veterans alike, as they rely upon and rightfully expect uncompromised care through the Department of Defense’s TRICARE Program,” said DCIS Director O’Reilly.  “Investigations that culminated in enforcement actions over the past several days underscore the steadfast commitment of the Defense Criminal Investigative Service and our investigative partners to vigorously investigate fraud impacting TRICARE.  We remain vigilant in our efforts to ensure the high standards of care our service members, military retirees, and their dependents deserve while safeguarding American taxpayer dollars.” 

The Medicare Fraud Strike Force operations are part of a joint initiative between the Department of Justice and HHS to focus their efforts to prevent and deter fraud and enforce current anti-fraud laws around the country.  The Medicare Fraud Strike Force operates in 10 locations nationwide.  Since its inception in March 2007, the Medicare Fraud Strike Force has charged over 3,700 defendants who collectively have falsely billed the Medicare program for over $14 billion.

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For the Strike Force locations, in the Southern District of Florida, 124 defendants were charged with offenses relating to their participation in various fraud schemes involving over $337 million in false billings for services including home health care and pharmacy fraud.  In one case, an owner, medical director, and two employees of a sober living facility were charged with conspiracy to commit health care and wire fraud, substantive counts of health care fraud, and substantive counts of money laundering.  The indictment alleges a scheme that illegally recruited patients, paid kickbacks, and defrauded health care benefit programs for widespread fraudulent urine testing.  During the course of the fraudulent scheme, the facility submitted more than $106 million in claims for substance abuse treatment services. 

In the Central District of California, 33 defendants were charged for their roles in schemes to defraud insurance programs out of more than $660 million.  For example, one indictment in a compounding pharmacy fraud case alleges an attorney/marketer paid kickbacks and offered incentives such as prostitutes and expensive meals to two podiatrists in exchange for prescriptions written on pre-printed prescription pads, regardless of the medical need for the prescriptions.  Once the prescriptions were filled, members of the conspiracy submitted approximately $250 million in fraudulent claims to federal, state, and private insurers for the compounded drugs. 

In the Southern District of Texas, 48 individuals were charged in cases involving more than $291 million in alleged fraud.  Among these defendants are a pharmacy chain owner, managing partner, and lead pharmacist charged with a drug and money laundering conspiracy. According to the indictment, the coconspirators used fraudulent prescriptions to fill bulk orders for over one million pills of hydrocodone and oxycodone, which the pharmacy, in turn, sold to drug couriers for millions of dollars.  In the Northern District of Texas, a home health agency owner was arrested on a criminal complaint for a $2.6 million health care fraud scheme.

In the Eastern District of Michigan, 35 defendants face charges for their alleged roles in fraud, kickback, money laundering and drug diversion schemes involving approximately $197 million in false claims for services that were medically unnecessary or never rendered.  In one case, a physician was charged in separate kickback conspiracies with two home health agency owners, which resulted in more than $12 million in fraudulent insurance billings.

In the Northern District of Illinois, 21 individuals were charged for various fraud schemes involving home health and dental services.  These schemes involved allegedly over $54 million in fraudulent billing.  One case alleges a home health fraud and kickback conspiracy, which resulted in more than $6.2 million paid by Medicare based on the fraudulent billings.

In the Eastern District of New York, 13 individuals were charged with participating in a variety of schemes including kickbacks, services not rendered, identity theft and money laundering involving over $38 million in fraudulent billings.  For example, the owner of a Brooklyn ambulette company was charged in a $7 million conspiracy stemming from the alleged payment of kickbacks for the referral of patients, who subjected themselves to purported physical and occupational therapy and other services, and were transported by the ambulette company.

In the Middle District of Florida, 21 individuals were charged with participating in a variety of schemes involving more than $21 million in fraudulent billings.  In one case, a physician and clinic owner were charged with a conspiracy to defraud Medicare of more than $2.8 million for fraudulent home health billings.

In the Southern Louisiana Strike Force, operating in the Middle and Eastern Districts of Louisiana as well as the Southern District of Mississippi, 42 defendants were charged in connection with health care fraud, drug diversion, and money laundering schemes involving more than $16 million in fraudulent billings.  One case alleges that three pharmacy owners and a nurse practitioner conspired to unlawfully dispense controlled substances and defraud TRICARE and private insurance companies out of $12 million.

In the Corporate Strike Force, five defendants were charged in the Middle District of Tennessee with a kickback conspiracy at a durable medical equipment company, which allegedly resulted in more than $1 million in kickbacks and over $2.5 million in fraudulent billings to Medicare.

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In addition to the Strike Force locations, today’s enforcement actions include cases and investigations brought by an additional 46 U.S. Attorney’s Offices, including the execution of  search warrants in various investigations conducted by the Central and Northern Districts of California, Middle District of Florida, Southern District of Georgia, Western District of Kentucky, Eastern District of Michigan, Western District of North Carolina, Eastern and Western Districts of Texas, Eastern and Western Districts of Virginia, and Western District of Washington.

In the Northern and Southern Districts of Alabama, 15 defendants were charged for their roles in eight health care fraud schemes involving compounding pharmacy fraud and unlawful distribution of controlled substances.

In the Eastern District of California, four defendants were charged for their roles in two health care fraud schemes, one of which included forged prescriptions.

In the Southern District of California, seven defendants, including a physician, were charged for their roles in three health care fraud schemes and one scheme involving identity theft and services that were not rendered. 

In the District of Colorado, a defendant was charged with health care fraud related to billings to Medicaid and Medicare.

In the District of Connecticut, three defendants, including two medical professionals, were charged for their roles in two schemes involving compounding drugs and unlawful distribution of Schedule II and IV controlled substances. 

In the District of Delaware, a physician/owner of a pain management clinic was charged with unlawfully prescribing more than two million dosage units of Oxycodone products.

In the District of Columbia, a durable medical equipment company owner was charged with defrauding Medicaid of $9.8 million.

In the Northern District of Florida, four defendants were charged in a scheme to defraud TRICARE and other private insurance companies out of over $8 million for medically unnecessary compounded creams and pills. 

In the Northern, Middle, and Southern Districts of Georgia, 12 defendants, including two physicians, were charged in nine health care fraud, drug diversion, or compounding pharmacy schemes involving over $13.5 million in fraudulent billings. 

In the District of Idaho, three defendants, all of who are medical professionals, were charged for their roles in three separate fraud schemes involving controlled substances.

In the Central and Southern Districts of Illinois, seven defendants were charged in six separate schemes to defraud the Medicaid program.

In the Northern District of Indiana, eight defendants were charged in various health care fraud schemes to defraud both the Medicare and Medicaid programs. 

In the Northern District of Iowa, two defendants – both medical professionals – were charged for their roles in two opioid-related schemes.

In the Districts of Kansas and the Northern and Western Districts of Oklahoma, 12 defendants, including four physicians, were charged in various unlawful distribution of controlled substances schemes.  In the Western District of Oklahoma, one case marks the district’s first time charging unlawful distribution of controlled substances resulting in a death.

In the Eastern and Western Districts of Kentucky, 12 defendants, including five medical professionals, were charged in various schemes involving health care fraud, unlawful distribution of controlled substances, aggravated identity theft, and money laundering.  One case involved the operation of two false-front medical clinics.

In the Districts of Maine and Vermont, two defendants were charged for their roles in two schemes to defraud various government programs including Medicare, Medicaid, and ones run by the HHS’ Administration for Children and Families.

In the District of Nebraska, seven defendants, including one physician, were charged in five separate schemes to defraud Medicare, Medicaid, and various HHS programs.

In the District of Nevada, four defendants, including three medical professionals were charged with conspiracies to commit health care fraud and distribute controlled substances. 

In the District of New Jersey, eight defendants, including a New York doctor, an anesthesiology technologist for a Philadelphia hospital, and the owner of a medical billing company, were charged for their roles in five schemes to defraud private insurance companies of over $16 million. 

In the Southern District of New York, two defendants were charged in schemes involving health care fraud or drug diversion.

In the Middle District of North Carolina, two defendants were charged with a conspiracy to defraud Medicare out of over $4 million.

In the Southern District of Ohio, three defendants – all medical professionals – were charged for their roles in two health care fraud schemes, one of which involved illegal drug distribution and kickbacks.

In the Eastern and Middle Districts of Pennsylvania, 12 defendants were charged for their roles in three drug diversion schemes.

In the Western District of Pennsylvania, four defendants – all physicians – were charged in various health care fraud and drug diversion schemes. One scheme involved 32,000 dosage units of buprenorphine.

In the District of Rhode Island, one defendant was charged for participating in a theft and aggravated identity theft scheme.

In the District of South Carolina, three defendants were charged for their separate roles in a conspiracy to possess with the intent to distribute fentanyl.

In the District of South Dakota, two defendants were charged in separate cases, one of which involved a scheme to defraud the Indian Health Service.

In the Middle District of Tennessee, 10 defendants were charged in two separate schemes, including a conspiracy to fraudulently obtain oxycodone.

In the Eastern District of Texas, two defendants were charged for their role in health care fraud schemes to defraud the Medicare and Medicaid programs.

In the District of Utah, two defendants were charged in two cases, one of which involved a $31 million scheme to defraud Medicare and Medicaid.

In the Western District of Virginia, eight defendants were charged for their alleged roles in health care fraud schemes.  One $45 million scheme to defraud Medicaid involved falsification of documents in patient files.

In the Eastern District of Washington, a dentist and another individual were indicted for distributing and conspiring to distribute hydrocodone and tramadol without a legitimate medical purpose. 

In the Eastern District of Wisconsin, three defendants were charged in a scheme involving the unlawful distribution of controlled substances and aggravated identity theft.

In addition, in the states of Arizona, Arkansas, California, Connecticut, Delaware, Florida, Hawaii, Illinois, Indiana, Kansas, Louisiana, Maine, Michigan, Missouri, Mississippi, Nevada, New York, Oklahoma, Pennsylvania, Texas, Vermont, and Washington, 97 defendants have been charged with defrauding the Medicaid program out of over $27 million.  These cases were investigated by each state’s respective Medicaid Fraud Control Units.  In addition, the Medicaid Fraud Control Units of the states of California, District of Columbia, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Louisiana, Maine, Nevada, North Carolina, Ohio, Texas, Tennessee, and Virginia participated in the investigation of many of the federal cases discussed above. 

The cases announced are being prosecuted and investigated by U.S. Attorney’s Offices nationwide, along with Medicare Fraud Strike Force teams from the Criminal Division’s Fraud Section and from the U.S. Attorney’s Offices in the Southern District of Florida, Eastern District of Michigan, Eastern District of New York, Southern District of Texas, Central District of California, Eastern District of Louisiana, Northern District of Texas, Northern District of Illinois, Middle District of Louisiana, and the Middle District of Florida; and agents from the FBI, HHS-OIG, DEA, DCIS, IRS-CI, Department of Labor, other various federal law enforcement agencies, and state Medicaid Fraud Control Units.

A complaint, information, or indictment is merely an allegation, and all defendants are presumed innocent until proven guilty beyond a reasonable doubt in a court of law.

Additional documents related to this announcement will shortly be available here: 

https://www.justice.gov/opa/documents-and-resources-june-28-2018.

This operation also highlights the great work being done by the Department of Justice’s Civil Division.  In the past fiscal year, the Department of Justice, including the Civil Division, has collectively won or negotiated over $2 billion in judgements and settlements related to matters alleging health care fraud. 

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Allianz Global Assistance Launches New and Enhanced Products for Travel Agent Channel

Allianz Global Assistance, one of the largest travel insurance and assistance providers in the U.S., today announced that it has launched a new portfolio of Allianz Travel Insurance core retail plans sold by travel agents.

The company's popular "Classic Plan" is now a family of plans that include optional additional coverage to better fit the needs of travelers. The company is also introducing an inexpensive "Essential Plan" for travelers who do not require post departure benefits such as medical and baggage protection.

"As the country's leading travel insurance provider, we pay close attention to trends in leisure travel and we are continually innovating to meet the changing needs of today's traveler," said Brad Gray, director of retail channel management for Allianz Global Assistance USA. "This new portfolio provides travel agents with the simplest and most competitive line of products that we have ever offered."

The new core retail lineup includes these plans: Essential Basic Classic (base plan) Classic with optional Required to Work enhancement Classic with Trip+ Classic with Cancel Anytime The company's "Classic" family of plans now includes a base plan as well as optional benefit enhancements such as Required to Work, which provides coverage for specific work obligations; and Trip+, which has double the coverage limits compared to the base plan, for benefits that include missed connections, emergency medical and dental, emergency medical transportation, baggage loss/damage and baggage delay.

"Classic with Cancel Anytime," provides 100% cash back when trips are canceled or interrupted due to a covered reason, and 80% cash back for most other unforeseen reasons. On all Classic plans, kids 17 and under can be added for no additional cost when traveling with parents or grandparents.

The company's former "Deluxe" product has been retired, but many of that product's benefits can now be found in Classic with Trip Plus.

"Agents told us to make selling travel insurance simpler, which is why we're so excited about the entire Classic family of products," said Gray. "They only need to learn one product -- Classic -- and then add coverage options. Classic with Trip+ solves an age-old conundrum for agents who sold international trips to families: Do they offer the value of kids being added at no additional cost or do they offer a product with more coverage? Classic with Trip+ solves this problem by including higher coverage limits while still insuring kids 17 and under at no additional cost when traveling with their parents or grandparents."

The new Essential Plan offers a cost-effective insurance option for agents who sell domestic air trips to their clients who already have domestic health insurance. It was designed for people who need some cancellation coverage and existing medical conditions coverage to protect their domestic air investments. As with all Allianz Travel Insurance products, the Essential Plan doesn't have any non-commissionable processing fees which means agents get credit for 100% of their customer's purchase.

* - Not all situations are covered. Nothing in the above should be interpreted to suggest that any other particular situation would be covered. Terms, conditions, limitations and exclusions apply to all plans and benefits described herein. For a complete description of the coverage, carefully review the terms and conditions of the certificate of insurance. Insurance coverage is underwritten by BCS Insurance Company (OH, Administrative Office: Oakbrook Terrace, Ill), rated "A-"(Excellent) by A.M. Best Co., under BCS Form No. 52.201 series or 52.401 series, or Jefferson Insurance Company (NY, Administrative Office: Richmond, VA), rated "A" (Excellent) by A.M. Best Co., under Jefferson Form No. 102-C series or 102-P series, or Jefferson Form No. 105-C series or 105-P series, depending on the insured's state. Allianz Global Assistance and Allianz Travel Insurance are brands of AGA Service Company. AGA Service Company is the licensed producer and administrator of this plan and an affiliate of Jefferson Insurance Company. The insured shall not receive any special benefit or advantage because of the affiliation between AGA Service Company and Jefferson Insurance Company.

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