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WellCare Health Plans, Inc. is an American health insurance company that provides managed care services primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for members across the United States. WellCare began operations in 1985 and has its headquarters in Tampa, Florida.
The announcement resulted in an investigation by regulators from the Federal and California governments. [94] Anthem Blue Cross gained worldwide media attention and became a poster child for the problem of rising cost of health care in the U.S. [ 94 ] The rate increase came one year after Anthem had raised rates 68% on individual policy holders.
Reportable events include overpayments, ongoing investigations or legal proceedings, potential violation of criminal, civil, or administrative laws applicable to any Federal health care program for which penalties or exclusion may be authorized, and employing or contracting with an ineligible person.
Health care fraud includes "snake oil" marketing, health insurance fraud, drug fraud, and medical fraud. Health insurance fraud occurs when a company or an individual defrauds an insurer or government health care program, such as Medicare (United States) or equivalent State programs. The manner in which this is done varies, and persons engaging ...
The use of the FD-302 has been criticized as a form of institutionalized perjury due to FBI guidelines that prohibit recordings of interviews. Prominent defense lawyers and former FBI agents have stated that they believe that the method of interviewing by the FBI is designed to expose interviewees to potential perjury or false statement criminal charges when the interviewee is deposed in a ...
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The IC3 was founded in 2000 as the Internet Fraud Complaint Center (IFCC), and was tasked with gathering data on crimes committed online such as fraud, scams, and thefts. [1] Other crimes tracked by the center included intellectual property rights matters, computer intrusions , economic espionage , online extortion , international money ...
In France, the Caisse d'allocations familiales reported in 1994 an estimated amount to 2,000 to 3,000 fraud cases per year, which was considered low. [10]: 36 When asked whether they would take a black market job while receiving unemployments benefits, more than 85% answered yes if the risk of audit was 1 ⁄ 6, close to 50% if the risk was 1 ⁄ 4, and 6% if the risk was 1 ⁄ 2.