By St. John Barned-Smith Updated 6:42 pm, Friday, June 1, 2018 The former CEO of a multi-state physical therapy chain based in Houston was sentenced Friday to 19 years in federal prison and ordered to pay $15 million in restitution, according to the U.S. Attorney's Office. Team Work Ready CEO Jeffrey Eugene Rose Sr., 56, had been convicted in 2016 -- along with two of the company's other top officials -- of conspiracy, health care fraud, wire fraud and money laundering, after submitting more than $18 million in fraudulent claims at clinics in Texas, Louisiana, Georgia, Memphis and Alabama, prosecutors said in a press release. Rose will also be required to serve three years supervised release upon completion of the prison term. Latest Houston & Texas News Now Playing: Now Playing Lyndon Baines Johnson statue coming soon to downtown Houston Gensler SWAT scene after man breaks into Spring Branch home METRO Video Russell Wilson Joins Group Trying to … [Read more...] about Ex-health care boss gets 19 years in prison in a $15 million fraud case
Health care fraud investigations
By Guillermo Contreras Published 7:47 pm, Tuesday, May 15, 2018 A South Texas doctor was in federal court Tuesday, answering to charges that he was involved in a $240 million health care fraud and international money laundering scam that made him rich enough to buy a private jet, a Maserati, a Porsche and high-end real estate in the United States and Mexico. Dr. Jorge Zamora-Quezada, 61, of Mission, pleaded not guilty to one count of conspiracy to commit health care fraud, five counts of health care fraud and one count of conspiracy to commit money laundering. He’s accused of misdiagnosing patients, possibly putting their lives in danger, so he could bill the government for unneeded expensive treatments that fed his lavish lifestyle. Local Channel Now Playing: Now Playing Perp walk: Couple arrested for hotel-robbing spree San Antonio Express-News Second suspect arrested in March homicide Brandpoint Police respond to fatal shooting near S.A. school … [Read more...] about South Texas doctor indicted in medical fraud case
THE PROGNOSIS President Donald Trump shakes hands with House Speaker Paul Ryan as he celebrates with congressional Republicans after Congress passed sweeping tax overhaul legislation in December. REUTERS/Carlos Barria/File Photo Health-care industry giants are sitting pretty this year with extra cash from the GOP tax overhaul — but they’re also sitting tight. Companies have been less aggressive on the consolidation front than analysts say they had anticipated in the four months since Congress lowered corporate tax rates in a sweeping overhaul, freeing up overseas cash and reducing tax bills for pharmaceutical makers, life-sciences companies and health insurers. “We’ve seen [mergers and acquisitions] roll out slower than expected,” said Ben Proce, pharmaceutical and life sciences tax leader for the firm PwC. “Prices could be on the high end, but given the liquidity unlocked here, we think it’s more a matter of time than anything … [Read more...] about The Health 202: Health industry giants get tax windfall. But it’s unclear how it will be used.
This story was updated April 16, 2018, at 10:53 p.m. with more information. Two physicians from Cleveland, Tenn., have admitted to cheating the military's health care program, TRICARE, out of more than $65 million by writing thousands of expensive, unnecessary prescriptions to patients they never examined. In a San Diego federal court last week, Dr. Carl Lindblad and Dr. Susan Vergot pleaded guilty to conspiracy to commit health care fraud for their operations at Choice MD, a walk-in clinic on Candies Creek Ridge Road. The two doctors worked with a team of co-conspirators to obtain patient information from TRICARE-enrolled Marines and their families — mostly from the San Diego area — and write prescriptions for costly, custom-made drugs to those individuals, according to a news release from the Southern California U.S. Attorney's Office. The case is one of several across the country concerning TRICARE and specialty drugs known as compounded medications, according to the San … [Read more...] about Local doctors plead guilty after cheating military health program out of more than $65 million
Businessman Seth Gillman was sentenced Tuesday to 6 1/2 years in federal prison for masterminding a $20 million hospice care fraud scheme that exploited some of Illinois' most vulnerable residents."I am ashamed of what I did and I am sorry for it and I have no excuse," Gillman told the court, his voice hoarse and cracking.By paying kickbacks to nursing homes and giving bonuses to employees who took part in the fraud, Gillman built his Passages Hospice LLC into the largest such company in Illinois, serving terminally ill patients in 89 counties and billing Medicare more than $90 million from 2008-2012, government records show.But Passages didn't provide much care to many of those patients, and Medicare was "paying huge sums of money for basically nothing," prosecutors wrote in one court filing. Gillman pocketed millions annually and enjoyed a lavish lifestyle that included corporate airplanes, luxury sports cars and "ingesting cocaine on a daily basis," as Gillman's lawyers put it in … [Read more...] about Hospice CEO gets 6 1/2 years for fraud scheme