Owner of a Miami transportation company convicted in $70M scheme; OIG "Most Wanted" fugitive turns up in Miami;

News From Around the Web

> The owner of a Miami-based transportation company was convicted for his role in a mental health fraud scheme that submitted $70 million in false claims to Medicare. Damion Mayol, president of Transportation Services Providers Inc, coordinated kickback payments to recruiters that referred patients to three community mental health clinics. Announcement

> Federal authorities apprehended a fugitive on the Office of Inspector General's "Most Wanted" list after he fled to Cuba following a 2013 fraud indictment. Sandy De La Fe was wanted for his suspected participation in a prescription drug scheme that stole approximately $2.8 million from Medicare. De La Fe was captured in Miami International Airport after voluntarily returning to the United States. Announcement

>  Dr. David G. Bostwick, owner of Bostwick Laboratories agreed to pay $3.75 million to settle allegations that he billed Medicare and Medicaid for unnecessary cancer screening tests. In addition to the tests, Bostwick offered "discounts and billing arrangements" to physicians that referred business to the laboratory. Announcement

Health Payer News

> The federal government announced plans to tighten regulations surrounding special enrollment periods in an effort to keep "bad actors" from exploiting loopholes in the system. Centers for Medicare & Medicaid Services Acting Administrator Andy Slavitt added that the agency has also formed an enforcement task force to keep ineligible consumers from enrolling. Article

> A group of 15 attorney generals have joined the Department of Justice's (DOJ) investigation into the two payer mergers between Aetna and Humana and Anthem and Cigna. The DOJ will have final say as to whether or not the deals are approved, but the states will provide support in the complicated investigation. Article

And finally… Don't waste $2 on a Power Ball ticket, have this turtle prank call your friend instead. Article

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