Tag #Healthcare Fraud

Showing 13 to 24 of 33 results

nos.nl

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May 14, 13:15

Dutch Care Agency Director Acquitted Despite Misuse of €2 Million

Nina B., director of Victorie care agency in Almelo, was acquitted on fraud charges despite spending nearly €2 million in agency funds on personal expenses, including breast augmentation and casino visits; the court couldn't definitively link the funds to subsidies.

Dutch Care Agency Director Acquitted Despite Misuse of €2 Million

Nina B., director of Victorie care agency in Almelo, was acquitted on fraud charges despite spending nearly €2 million in agency funds on personal expenses, including breast augmentation and casino visits; the court couldn't definitively link the funds to subsidies.

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How did the different legal approaches (civil vs. criminal) affect the outcome of the case against Nina B., and what were the key differences in the burden of proof?

The case highlights the challenges in prosecuting healthcare fraud. While the municipality proved misappropriation of funds in civil court, the criminal court required proof the misused money originated from subsidies, which couldn't be established due to multiple income streams for Victorie. This resulted in Nina B.'s acquittal despite clear evidence of misuse.

t24.com.tr

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Apr 21, 13:12

Istanbul Indictment: 47 Charged in Infant Deaths Case

An indictment in Istanbul charges 47 suspects, including 22 in custody, with the deaths of 12 infants due to negligence in a private hospital; sentences of 177 years to 589 years are sought, alleging a criminal organization defrauded the SGK.

Istanbul Indictment: 47 Charged in Infant Deaths Case

An indictment in Istanbul charges 47 suspects, including 22 in custody, with the deaths of 12 infants due to negligence in a private hospital; sentences of 177 years to 589 years are sought, alleging a criminal organization defrauded the SGK.

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How did the alleged criminal organization manipulate the system to defraud the SGK and what evidence supports these allegations?

The case involves allegations of a criminal organization that manipulated the 112 emergency system to maximize occupancy of neonatal intensive care units in private hospitals, enabling them to defraud the Social Security Institution (SGK) through inflated payments. The indictment includes testimonies from grieving parents and evidence from phone conversations between suspects, revealing a systematic pattern of negligence and fraud.

dw.com

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Mar 31, 13:15

€200 Million Healthcare Fraud in Germany: Forged Prescriptions and Fake Companies

German health insurers detected €200 million in fraudulent claims in 2022-2023, mostly involving forged prescriptions for expensive drugs like "Ozempic", indicating organized crime involvement and highlighting the vulnerability of the system.

€200 Million Healthcare Fraud in Germany: Forged Prescriptions and Fake Companies

German health insurers detected €200 million in fraudulent claims in 2022-2023, mostly involving forged prescriptions for expensive drugs like "Ozempic", indicating organized crime involvement and highlighting the vulnerability of the system.

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What are the emerging trends in healthcare fraud, and what measures are necessary to prevent future losses?

The creation of fake companies, often with unwitting Eastern European directors, to register individuals with health insurance and claim social benefits, represents a new and growing fraud trend. These companies exist only on paper, and their payroll and employment records are manipulated. The trend's persistence signals an urgent need for enhanced regulatory oversight and verification processes.

nrc.nl

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Mar 20, 19:17

Dutch Prosecutors Investigate Fraud at Bankrupt Healthcare Chain Co-Med

The Dutch Public Prosecution Service opened a criminal investigation into Co-Med, a bankrupt commercial healthcare chain, suspecting fraudulent declarations to insurers totaling €1.5 million; the investigation follows years of warnings to regulators and a recent NZa raid revealing inadequate financi...

Dutch Prosecutors Investigate Fraud at Bankrupt Healthcare Chain Co-Med

The Dutch Public Prosecution Service opened a criminal investigation into Co-Med, a bankrupt commercial healthcare chain, suspecting fraudulent declarations to insurers totaling €1.5 million; the investigation follows years of warnings to regulators and a recent NZa raid revealing inadequate financi...

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What specific fraudulent activities led to the criminal investigation of Co-Med, and what are the immediate consequences for the company and its former leadership?

The Dutch Public Prosecution Service has opened a criminal investigation into Co-Med, a commercial chain of general practitioner practices that went bankrupt last year, suspecting falsification of documents in declarations submitted to health insurers. The investigation will focus on the chain's former management and is in its initial stages.

bari.repubblica.it

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Mar 14, 19:15

Puglia Recovers €4.17 Million in Mismanaged Public Funds

Puglia's Court of Auditors recovered €4,170,000 in 2024 from mismanaged EU and national funds, a significant increase from 2023, with issues concentrated in healthcare and private entities receiving public funding for uncompleted projects. The regional prosecutor criticizes the justice reform for hi...

Puglia Recovers €4.17 Million in Mismanaged Public Funds

Puglia's Court of Auditors recovered €4,170,000 in 2024 from mismanaged EU and national funds, a significant increase from 2023, with issues concentrated in healthcare and private entities receiving public funding for uncompleted projects. The regional prosecutor criticizes the justice reform for hi...

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What specific examples of fund mismanagement are highlighted in the report, and which sectors are most affected?

The misuse of EU and national funds in Puglia, Italy, is a persistent issue, encompassing healthcare, construction, and energy subsidies. A significant portion of the mismanaged funds involved private entities receiving public funds for projects that were never completed, as demonstrated by a €199,514 case involving a company that received EU funding but failed to fulfill its obligations. This highlights systemic weaknesses in oversight and accountability.

t24.com.tr

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Feb 24, 16:08

Istanbul Indictment: 47 Charged in Infant Deaths Case

An indictment in Istanbul charges 47 individuals, including doctors and nurses, with the negligent homicide of 12 infants in private hospitals, along with fraud and organized crime, based on evidence including phone recordings and medical reports showing systematic failures resulting in the deaths o...

Istanbul Indictment: 47 Charged in Infant Deaths Case

An indictment in Istanbul charges 47 individuals, including doctors and nurses, with the negligent homicide of 12 infants in private hospitals, along with fraud and organized crime, based on evidence including phone recordings and medical reports showing systematic failures resulting in the deaths o...

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How did the alleged criminal organization manipulate the system to maximize payments from the SGK, and what evidence supports these claims?

The indictment details a scheme where a criminal organization, allegedly led by Dr. Fırat Sarı, manipulated the 112 emergency system to fill neonatal intensive care units in private hospitals, maximizing payments from the Social Security Institution (SGK). Evidence includes phone recordings and expert medical reports detailing medical negligence that contributed to the deaths of 10 infants.

nos.nl

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May 1, 01:17

Dutch Staffing Agency Used 120 Unqualified Care Workers

A Dutch investigation found that Allround Care, a staffing agency, used at least 120 unqualified care workers in youth care and disability services over the past six months, prompting at least one institution, Gemiva, to terminate its contract with the agency.

Dutch Staffing Agency Used 120 Unqualified Care Workers

A Dutch investigation found that Allround Care, a staffing agency, used at least 120 unqualified care workers in youth care and disability services over the past six months, prompting at least one institution, Gemiva, to terminate its contract with the agency.

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What are the broader implications of this case for the Dutch healthcare system's reliance on staffing agencies?

The investigation, partly driven by an experiment targeting healthcare-related crime, revealed that several care institutions—Enver, Amarant, Prisma, Raamwerk, and Gemiva—used Allround Care's services. Gemiva, after receiving a letter from the inspectorate questioning qualifications, terminated its contract with Allround Care upon discovering inconsistencies in diploma provision.

cbsnews.com

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Apr 1, 07:18

Pennsylvania Overpays UPMC $357,000 Due to Data Management Failures

An audit of UPMC's Community HealthChoices program found that failures to update data and delays in reporting led to Pennsylvania overpaying UPMC by approximately $357,000 in 2022; the state was unable to recover about $121,000 due to contract limitations.

Pennsylvania Overpays UPMC $357,000 Due to Data Management Failures

An audit of UPMC's Community HealthChoices program found that failures to update data and delays in reporting led to Pennsylvania overpaying UPMC by approximately $357,000 in 2022; the state was unable to recover about $121,000 due to contract limitations.

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How did UPMC's delayed reporting of eligibility changes impact the state's ability to manage its Medicaid payments?

UPMC's inadequate participant assessments and delayed reporting of eligibility changes led to the overpayment. The issues stemmed from UPMC's failure to conduct required assessments and promptly notify the state Department of Human Services (DHS) of status changes. This highlights the importance of robust data management and timely communication in Medicaid programs.

theglobeandmail.com

🌐 85% Global Worthiness

Mar 21, 16:11

Alberta Government Dismisses Health Board Amidst Allegations of Improper Activity

The Alberta government dissolved the Alberta Health Services board a day before a report was due on potentially improper business deals, amid allegations of government interference and inflated contracts with private companies, leading to multiple investigations by the Auditor-General, RCMP, and a r...

Alberta Government Dismisses Health Board Amidst Allegations of Improper Activity

The Alberta government dissolved the Alberta Health Services board a day before a report was due on potentially improper business deals, amid allegations of government interference and inflated contracts with private companies, leading to multiple investigations by the Auditor-General, RCMP, and a r...

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What are the immediate consequences of the Alberta government's decision to dissolve the AHS board, and how does this impact public trust in the healthcare system?

The Alberta government dissolved the Alberta Health Services (AHS) board the day before investigators were to release a report on potential improper activity in AHS business deals. This followed a letter from some directors to the Auditor-General alleging government interference benefiting private companies. The former AHS CEO, Athana Mentzelopoulos, had already launched investigations into these deals and was fired shortly before meeting with the Auditor-General.

nos.nl

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Mar 20, 13:16

NZa finds criminal offenses at bankrupt Co-Med

The Dutch Healthcare Authority (NZa) found evidence of criminal activity at the bankrupt general practitioner chain Co-Med, including fraudulent billing and inadequate patient care, and has referred the case to the Public Prosecutor's Office.

NZa finds criminal offenses at bankrupt Co-Med

The Dutch Healthcare Authority (NZa) found evidence of criminal activity at the bankrupt general practitioner chain Co-Med, including fraudulent billing and inadequate patient care, and has referred the case to the Public Prosecutor's Office.

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How did Co-Med's rapid expansion and acquisition strategy contribute to its financial and operational failures?

Co-Med's fraudulent billing practices, coupled with inadequate staffing and poor patient care, led to contract termination by insurers and subsequent bankruptcy. The NZa's investigation revealed a pattern of regulatory violations, including unapproved practice acquisitions and inadequate bookkeeping, highlighting systemic failures within the organization.

elmundo.es

🌐 85% Global Worthiness

Mar 3, 19:11

Madrid Court Expands Investigation into Ayuso Partner for Corruption

A Madrid court expanded an investigation into Isabel Díaz Ayuso's partner, Alberto González Amador, adding a corruption charge after a nearly €500,000 payment to the wife of Quirón Prevención's president was flagged by the PSOE and Más Madrid parties, prompting a separate investigation into potentia...

Madrid Court Expands Investigation into Ayuso Partner for Corruption

A Madrid court expanded an investigation into Isabel Díaz Ayuso's partner, Alberto González Amador, adding a corruption charge after a nearly €500,000 payment to the wife of Quirón Prevención's president was flagged by the PSOE and Más Madrid parties, prompting a separate investigation into potentia...

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What prompted the investigation's expansion, and what specific evidence links the €499,836 payment to potential corruption?

The court's decision stems from a complaint by the PSOE and Más Madrid parties, later supported by the prosecution. The investigation focuses on a transaction where a company linked to Alberto González Amador purchased a nearly worthless company owned by the president's wife for €499,836 shortly after receiving €726,000 from Quirón. This raises concerns about potential illegal commissions.

liberation.fr

🌐 75% Global Worthiness

Feb 6, 10:10

€7 Million Health Insurance Fraud Ring Busted in France

A criminal network defrauded the French health insurance system of over €7 million through false invoices for hearing aids and eyeglasses, exploiting a 100% reimbursement policy; three people were arrested, but the leader remains at large in the UAE.

€7 Million Health Insurance Fraud Ring Busted in France

A criminal network defrauded the French health insurance system of over €7 million through false invoices for hearing aids and eyeglasses, exploiting a 100% reimbursement policy; three people were arrested, but the leader remains at large in the UAE.

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How did the fraudsters operate, and how was the network structured?

The fraud involved a hierarchical structure, with a leader based in the UAE directing operatives in France who used social media for recruitment. The scheme exploited a 2020 policy providing 100% reimbursement for hearing aids, generating false claims across 75 regional health insurance funds and 54 mutual insurance companies.

Showing 13 to 24 of 33 results