Articles about insurance fraud

The Coalition has assembled hundreds of articles about insurance fraud, which can be searched by author and by subject. View the latest articles posted.

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Home-health cons gouge insurance, abuse patients
December 09, 2016
Much-lauded “Entrepreneur of the Year” tries to steel $16 million imageBusiness owner Martha Lima was the queen bee of Miami’s home healthcare industry. The elderly entrepreneur ran a lucrative homecare firm. She was a model success story — a Cuban immigrant who fled Castro’s dictatorship and built ...

Study: Insurance Fraud Surging, Insurers Automating Detection
November 29, 2016
imageWASHINGTON, Nov. 29, 2016 — Insurance fraud is rising, and more insurers are responding forcefully by automating investigations with skilled technology, reveals a study of insurer tech usage by the Coalition Against Insurance Fraud. More than 60 percent of insurers say fraud has climbed over the last three ...

Corrupt osteopath fronts for biker painkiller racket
November 01, 2016
imagePagans, pills and prostitutes thrived in pain clinics run by a corrupt osteopath. William J. O’Brien III turned his three clinics into lawless biker hangouts and drug supermarkets. Millions of dollars of pain meds traded hands as addicts anxiously sought the creamy-smooth highs of oxycodone, Xanax, Percocet and ...

Mob sidekick stages crashes with deer parts
October 03, 2016
image“I live my life to cheat insurance companies. My high every day is to cheat insurance companies.” So went the mantra of body-shop owner and reputed Philadelphia mob associate Ron Galati.  Galati’s rambling insurance con read like a cheap detective novel. “Staggering” was how one prosecutor described ...

Calif. Enacts New Airbag Fraud Law In Growth Trend
September 28, 2016
States racing to enact laws criminalizing installing worthless knockoff bags imageWASHINGTON, Sept. 28, 2016 — California became the fourth state to enact a life-saving law criminalizing airbag scams this year in a spreading trend, the Coalition Against Insurance Fraud announced. Gov. Jerry Brown signed the nation’s most-expansive airbag bill into ...

Pa. Airbag-Fraud Bill Would Help Knock out Knockoffs
September 28, 2016
Coalition urges state Senate passage to protect consumers from shady body shops imageWASHINGTON, Sept. 28, 2016 — Making airbag scams a specific crime in Pennsylvania will save lives and deal a blow to insurance scams, the Coalition Against Insurance Fraud has urged the state senate majority leader. “Airbags protect ...

Nominees Sought For Fraud Prosecutor of Year Award
September 28, 2016
Encourages best courtroom practices against insurance fraud criminals imageWASHINGTON, Sept 27, 2016 — Nominations are being accepted for the Prosecutor of the Year Award sponsored by the Coalition Against Insurance Fraud. The award honors prosecutors who go above and beyond in convicting insurance scammers in the prior year. ...

Healthcare scams: 800-pound gorilla of fraud world
September 16, 2016
What led to creation of Coalition? imageThe Coalition is unifying the fight against insurance fraud, and protecting consumers. We’re doing so by bringing consumers, insurers and government agencies together — force-multiplying their efforts. It all started back in 1993. Insurers and consumers were at odds over many ...

Soldier fakes injury to steal Purple Heart, disability money
September 02, 2016
imageA rocket exploded by Army soldier Darryl Lee Wright’s Humvee while he was patrolling in Iraq during Operation Iraqi Freedom. The blast knocked him unconscious, scattering rubble and debris everywhere, he said. The Seattle man ended up with post-traumatic stress syndrome and a brain injury, he said. Wright ...

Doc makes fortune from worthless mental-illness drugs
August 02, 2016
imageMental illness made Dr. Fernando Mendez-Villamil rich and taxpayers that much poorer.  The Miami psychiatrist spooned out epidemic levels of antipsychotic drugs to seniors in Medicare and lower-income people in Medicaid. Mendez-Villamil became a national icon of overprescribing. He peddled nearly 97,000 scripts for powerful anti-psychotic drugs to Medicaid ...