Back to Top Skip to main content

Ten defendants charged in $100 Million TRICARE fraud scheme

Official TRICARE logo Official TRICARE Logo

Recommended Content:

TRICARE Health Program | TRICARE Pharmacy Program | Program Integrity

DALLAS — Special agents with the Federal Bureau of Investigation and the Defense Criminal Investigative Service (DCIS) arrested nine defendants this week in connection with their roles in a $100 million health care fraud conspiracy perpetrated against TRICARE, the health insurance program for members of the military and their families. A tenth defendant surrendered to the FBI. The defendants, including doctors, pharmacy owners, and marketers were charged in a 35-count superseding indictment returned last week in Dallas and unsealed this afternoon, announced U.S. Attorney John Parker of the Northern District of Texas.

"Exhaustive investigative work by FBI and DCIS special agents and investigators not only led to today’s arrests, but to the identification and seizure of millions in assets that these defendants derived from their participation in this massive scheme that caused the TRICARE health insurance program -- designed for our military personnel, veterans and their families -- to suffer more than $100 million in actual losses," said Parker.

"Today’s arrests helped to alleviate the burden on the American taxpayers from an organized group determined to commit fraud within the healthcare industry, principally, the TRICARE system," said Acting Special Agent in Charge Michael A. Costanzi of FBI Dallas. "This joint effort by the Dallas FBI and DCIS is one of many successful law enforcement partnerships forged to dismantle healthcare fraud groups."

"The indictments and arrests in this investigation highlight another step forward by DCIS and its law enforcement partners to protect the integrity of the Department of Defense (DoD) health care program known as TRICARE," said Special Agent in Charge Janice M. Flores, of the DCIS Southwest Field Office. "Fraud and abuse by pharmacies and medical providers that bill for compounded prescriptions and/or medications is a significant threat to the DoD health care system. With DoD’s limited resources and budgets, DCIS must continue to aggressively investigate fraud, waste and abuse to preserve and recover precious taxpayer dollars for our most vulnerable programs."

Disclaimer: Re-published content may have been edited for length and clarity. Read original post.

You also may be interested in...

Increases to TRICARE pharmacy copayments coming

Article
1/5/2018
TRICARE urges you to take command of your health care to enhance your TRICARE experience.

On Feb 1, 2018, copayments for prescription drugs at TRICARE Pharmacy Home Delivery and retail pharmacies will increase

Recommended Content:

TRICARE Pharmacy Program | TRICARE Formulary

TRICARE Philippine demonstration ends, new preferred-provider network begins

Article
1/3/2018
Official TRICARE logo

Beginning Jan. 1, 2018, a preferred-provider network will be available in the Philippines.

Recommended Content:

TRICARE Health Program | Access to Health Care

TRICARE Changes Checklist

Fact Sheet
12/20/2017

Use this checklist as a guide to help Take command and prepare now for the changes coming in 2018.

Recommended Content:

TRICARE Health Program

Increases to TRICARE pharmacy copayments coming Feb. 1, 2018

Article
12/18/2017
TRICARE urges you to take command of your health care to enhance your TRICARE experience.

On Feb. 1, 2018, copayments for prescription drugs at TRICARE Pharmacy Home Delivery and retail pharmacies will increase.

Recommended Content:

TRICARE Pharmacy Program | TRICARE Health Program

TRICARE changes and network providers

Article
12/13/2017
TRICARE urges you to take command of your health care to enhance your TRICARE experience.

On Jan. 1, 2018, the current three U.S. TRICARE regions consolidate into two. New regional contractors will administer the TRICARE benefit for the East (Humana Military) and West (Health Net Federal Services, LLC) Regions. Due to these changes, it’s possible that your primary care manager (PCM) will no longer be in network.

Recommended Content:

TRICARE Health Program | New Regional Contracts to Administer the TRICARE Benefit

TRICARE Changes: Are you ready? #TakeCommand

Video
12/8/2017
TRICARE Changes: Are you ready? #TakeCommand

This video spot describes the changes that are coming in 2018.

Recommended Content:

TRICARE Health Program

TRICARE Changes: New Regions #TakeCommand

Video
12/8/2017
TRICARE Changes: New Regions #TakeCommand

This video spot describes how the three TRICARE regions are changing to two.

Recommended Content:

TRICARE Health Program | New Regional Contracts to Administer the TRICARE Benefit

TRICARE Changes: New Provider Directories #TakeCommand

Video
12/7/2017
TRICARE Changes: New Provider Directories #TakeCommand

To find a network providers in your region visit: TRICARE East- https://www.tricare-east.com TRICARE West- https://www.tricare-west-com

Recommended Content:

TRICARE Health Program

Military health: All for one, one for all

Article
12/1/2017
From left, Retired Army Maj. Gen. Richard Thomas, president of Uniformed Services University of the Health Sciences;  Navy Rear Adm. Colin Chinn, Joint Staff surgeon; Air Force Lt. Gen. Mark Ediger, Air Force surgeon general; Navy Vice Adm. Forrest Faison III, Navy surgeon general; Army Maj. Gen. Ronald Place, for the Army surgeon general; Navy Vice Adm. Raquel Bono, director of the Defense Health Agency; and Tom McCaffery, acting assistant secretary of defense for health affairs. (Courtesy photo)

Joint interoperability is theme of leadership session

Recommended Content:

MHS GENESIS | TRICARE Health Program

WBAMC pharmacist catches serious drug interaction

Article
11/27/2017
Dr. Anna Jewula, pharmacist, Department of Pharmacy, William Beaumont Army Medical Center, is recognized for her attentiveness in assisting a patient with a prescription order that contraindicated a previous prescription medication, avoiding a potentially serious drug interaction detrimental to the patient’s health (U.S. Army photo Marcy Sanchez)

Thanks to a pharmacist’s careful eye, one patient avoided a potentially deadly drug interaction

Recommended Content:

Military Hospitals and Clinics | TRICARE Pharmacy Program

Improvements in preventive care coverage with TRICARE Select

Article
11/21/2017
TRICARE urges you to take command of your health care to enhance your TRICARE experience.

When TRICARE Select begins on Jan. 1, 2018, beneficiaries will notice improved coverage for preventive services

Recommended Content:

TRICARE Health Program | Preventive Health

Enroll now for 2018 TRICARE coverage

Article
11/14/2017
TRICARE urges you to take command of your health care to enhance your TRICARE experience.

If you want to switch to a different TRICARE health plan, or enroll in a plan for the first time, take action before Nov. 20, 2017

Recommended Content:

TRICARE Health Program

Enrollment Freeze Calendar

Publication
11/7/2017

This calendar provides key dates surrounding the upcoming enrollment freeze in December.

Recommended Content:

TRICARE Health Program

Electronic PSA: Enrollment Freeze

Publication
11/7/2017

An electronic public service announcement about the pending enrollment freeze that you can customize locally to help spread the word.

Recommended Content:

TRICARE Health Program

Print PSA: TRICARE is Changing. Are you Ready?

Publication
11/7/2017

Public service announcement you can print locally to help spread the word about the upcoming changes to TRICARE.

Recommended Content:

TRICARE Health Program
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 16

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.