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...

Print PSA: Did You Know? You May Be Eligible for New Vision Coverage in 2019.

Infographic
7/16/2018
Public service announcement you can print locally to help spread the word about the upcoming TRICARE Open Season for vision and dental coverage.

Public service announcement you can print locally to help spread the word about the upcoming TRICARE Open Season for vision and dental coverage.

Recommended Content:

TRICARE Health Program

Electronic PSA: You May Be Eligible for New Vision Coverage in 2019.

Publication
7/12/2018

Public service announcement you can print locally to help spread the word about the upcoming TRICARE Open Season for coverage.

Recommended Content:

TRICARE Health Program

FEDVIP is coming: Get to know dental and vision plans today

Article
7/12/2018
Take Command of your health

Now is a good time to become familiar with FEDVIP options

Recommended Content:

TRICARE Health Program

Retiree Vision and Dental Benefit

Infographic
7/12/2018
Retiree Vision and Dental Benefit

Recommended Content:

TRICARE Health Program

Summer travel: Getting care while overseas

Article
7/10/2018
 Summer vacation is the start of travel season for many military families.

When traveling overseas, you should know what to do in the event of illness or other health issues

Recommended Content:

TRICARE Health Program | Summer Safety

Retiring from Active Duty

Video
7/6/2018
Retiring from Active Duty

Learn about your TRICARE health plan options and what to do if you are going to retire from active duty.

Recommended Content:

TRICARE Health Program

Take Command: Open Season

Infographic
7/3/2018
Open Season Infographic 2018

TRICARE® is implementing an Open Season for enrollment. You can only enroll in TRICARE Prime or TRICARE Select or switch plans during Open Season or after a qualifying life event (QLE). This infographic describes what you need to know about coverage in 2019.

Recommended Content:

TRICARE Health Program

Moving this summer? Your TRICARE options may change

Article
6/28/2018
Because moving is a QLE, that means you’ll have 90 days from the date of the move to change your TRICARE health plan based on your eligibility. (U.S. Army photo by Karen A. Iwamoto)

Moving may change your TRICARE health plan options

Recommended Content:

TRICARE Health Program

Changes in marital status, changes in TRICARE coverage

Article
6/20/2018
Take Command of your health

With TRICARE, QLEs are certain life changes, like moving, getting married or divorced, becoming Medicare-eligible, and more

Recommended Content:

TRICARE Health Program

DHA PI 6025.07: Naloxone in the MTFs

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) through (h), establishes the Defense Health Agency’s (DHA) procedures for prescribing and dispensing naloxone by pharmacists in MTFs to eligible beneficiaries, upon beneficiary request, or when the pharmacist determines the beneficiary meets the established criteria for being at risk for a life-threatening opiate overdose.

DHA PI 6025.04: Pain Management and Opioid Safety in the MHS

Policy

The purpose of our MHS Pain Management Campaign is to enable Clinical Communities to provide evidence-based pain management guided by clinical practice guidelines (CPGs): effectively treat acute and chronic pain; promote non-pharmacologic treatment; prevent acute pain from becoming chronic; and minimize use of opioids with appropriate prescribing only when indicated. The Pain Management Clinical Support Service achieves these ends through clinical improvements in pain care, clinician and patient education, and research. This Defense Health Agency-Procedural Instruction (DHA-PI) is a dual effort between the Pain Management Clinical Support Service and the Clinical Communities to achieve our stated purpose through implementation of the MHS Stepped Care Model.

Keep your DEERS information up to date

Article
6/6/2018
Take Command of your health

To remain eligible for TRICARE coverage, you must keep your information current in DEERS

Recommended Content:

TRICARE Health Program

Assess your mental wellness during Mental Health Awareness Month

Article
5/25/2018
Similar to physical health, mental health requires regular care. Mental health is as critical as physical health to mission readiness. Therefore, it’s just as important to invest in your mental health as it is your physical health. (U.S. Air Force photo)

TRICARE provides mental health services for you and your family at all times

Recommended Content:

Mental Health Care | Mental Wellness | Men's Health | TRICARE Health Program

Explaining TRICARE annual cost increases

Article
5/24/2018
Take Command graphic

Population growth, aging, and price increases for medical goods and services drive many health care costs in the U.S.

Recommended Content:

TRICARE Health Program

TRICARE Facts and Figures 2018

Infographic
5/14/2018
Updated Infographic of TRICARE facts and figures

Infographic with updated TRICARE facts and figures

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.