Massachusetts sues UnitedHealthcare over alleged MassHealth payment fraud
Massachusetts Attorney General Andrea Joy Campbell has sued UnitedHealthcare for allegedly misrepresenting members’ health conditions to defraud the state. The insurer...
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The “Inherent Risk” of Staged Collisions and the Limits of Sentencing Stipulations
In a significant win for law enforcement and the insurance industry, the Tenth Circuit recently affirmed a 48-month sentence for a...
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IFB is Working With Tempcover on Anti-Fraud Strategies
The Insurance Fraud Bureau (IFB) has added market-leading temporary insurance provider Tempcover to its membership, integrating the specialist’s comprehensive data into the Bureau’s...
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There’s no place like home — for health care fraud
Some ideas are better on paper than in reality. That’s the case with state-subsidized home health care performed by relatives. In principle, it...
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Insurers grapple with new fraud threat: AI-generated images
Insurance fraud, unfortunately, is inevitable. A certain amount of fraud is priced into the product. The goal for insurers is to find the right...
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Calif. appeals court rejects bid to seal records in comp fraud case
A California appeals court affirmed the denial of an attorney’s petition to seal arrest records stemming from a workers compensation fraud...
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Gen Z Is Using AI To Gamble The Insurance System And Exposing a Broken System
Gen Z consumers are more likely to use AI to alter an insurance claim to make their claim more financially favorable, recent data...
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Farmland Title Fraud on the Rise as Scammers Target Rural Property Owners
Concerns surrounding farmland real estate fraud in the ag sector continue to grow as scammers increasingly target rural landowners across the country. RFD...
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Alleged fraud prompts long list of potential changes to Ohio Medicaid
Reports of hundreds of millions of dollars in Medicaid fraud allegedly committed by home health care providers in Ohio have yet...
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Oglethorpe Inc. and Top Executives Agree to Pay $32M to Resolve False Claims Act Allegations
Oglethorpe Inc. (Oglethorpe), an operator of psychiatric hospitals headquartered in Tampa, Florida, along with its founder and principal owner, Robert Cohen,...
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