(WASHINGTON) Justice Dept Court Report: Former NFL Players Plead Guilty to Nationwide Health Care Fraud Scheme #AceNewsDesk report

#AceNewsReport – Sept.09: The Plan was established pursuant to the NFL’s 2006 collective bargaining agreement and provided for tax-free reimbursement of out-of-pocket medical care expenses that were not covered by insurance, and that were incurred by former players, their spouses, and their dependents – up to a maximum of $350,000 per player.

#AceDailyNews reports that three former National Football League (NFL) players have pleaded guilty for their roles in a nationwide scheme to defraud a health care benefit program for retired NFL players. A total of 15 defendants have pleaded guilty in connection with this scheme.

Clinton Portis, 40, of Fort Mill, South Carolina, and Tamarick Vanover, 47, of Tallahassee, Florida, pleaded guilty on Friday, Sept. 3. Robert McCune, 40, of Riverdale, Georgia, pleaded guilty on Aug. 24. The former players admitted to participating in a scheme to defraud the Gene Upshaw NFL Player Health Reimbursement Account Plan (the Plan).

Department of Justice: Office of Public Affairs

According to court documents, Portis caused the submission of false and fraudulent claims to the Plan on his behalf over a two-month period, obtaining $99,264 in benefits for expensive medical equipment that was not actually provided. Vanover recruited three other former NFL players into the fraudulent scheme and assisted them in causing false and fraudulent claims to be submitted to the Plan, obtaining $159,510 for expensive medical equipment that was not actually provided. McCune orchestrated the nationwide fraud, which resulted in approximately $2.9 million in false and fraudulent claims being submitted to the Plan and the Plan paying out approximately $2.5 million on those claims between June 2017 and April 2018.

Portis and Vanover pleaded guilty two days after a trial against them resulted in a hung jury and a mistrial on certain counts against Vanover. McCune, the third defendant in that trial, pleaded guilty to all charges against him on the second day of trial. A retrial on the charges against Portis and Vanover had been scheduled to begin today.

Portis and Vanover were originally indicted, along with McCune and seven other defendants, in the Eastern District of Kentucky in December 2019 for their roles in the fraud. Since the initial charges were announced, five additional retired NFL players were charged in the scheme. All 12 of the other defendants charged have pleaded guilty to conspiracy to commit health care fraud: Joseph Horn, Correll Buckhalter, Carlos Rogers, James Butler, Etric Pruitt, Ceandris Brown, John Eubanks, Antwan Odom, Darrell Reid, Anthony Montgomery, Fredrick Bennett, and Donald “Reche” Caldwell, who passed away in June 2020.

Portis and Vanover pleaded guilty to conspiracy to commit health care fraud and agreed to pay full restitution to the Plan. Portis is scheduled to be sentenced on Jan. 6, 2022, and Vanover is scheduled to be sentenced on Jan. 22, 2022. They each face a maximum penalty of 10 years in prison.

McCune pleaded guilty to conspiracy to commit wire fraud and health care fraud, 13 counts of health care fraud, 11 counts of wire fraud, and three counts of aggravated identity theft. McCune is scheduled to be sentenced on Nov. 19. He faces a maximum penalty of 20 years in prison for conspiracy to commit wire fraud and health care fraud, 10 years for each count of health care fraud, 20 years for each count of wire fraud, and two years for each count of aggravated identity theft.

A federal district court judge will determine any sentence after considering the U.S. Sentencing Guidelines and other statutory factors.

Assistant Attorney General Kenneth A. Polite Jr. of the Justice Department’s Criminal Division; Acting U.S. Attorney Carlton S. Shier IV for the Eastern District of Kentucky; and Special Agent in Charge George L. Piro of the FBI’s Miami Field Office made the announcement.

This case was investigated by the FBI and included efforts by various FBI Field Offices and Resident Agencies, including Augusta, Georgia; Birmingham and Mobile, Alabama; Cleveland, Ohio; Chicago, Illinois; Columbia, South Carolina; Dallas and Houston, Texas; Denver, Colorado; Jackson, Mississippi; Lexington, Kentucky; New Orleans, Louisiana; Miami, Jacksonville, and Tampa, Florida; Newark, New Jersey; Los Angeles, San Diego, Sacramento, and Newport Beach, California; Phoenix, Arizona; Salt Lake City, Utah; and Washington, D.C. 

Trial Attorneys John (Fritz) Scanlon and Alexander J. Kramer of the Criminal Division’s Fraud Section and Assistant U.S. Attorney Andrew E. Smith of the Eastern District of Kentucky are prosecuting the case.

#AceNewsDesk report ……….Published: Sept.09: 2021:

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#care, #doj, #fruad, #nfl, #washington

` War Means Many Dollars for Western Economies But For People it Means No Bread to Feed Their Children’

#AceNewsServices – JORDAN – April 17 – Amman, Jordan – Three years after fleeing their war-torn country, more than half a million Syrian refugees living in Jordan’s urban centres have become more vulnerable and destitute, a new study has revealed.

A household assessment released by CARE International on Thursday found that urban Syrian refugees are struggling to cope with inadequate housing and high debts amid increasing prices in Jordan.

According the latest report of CARE releases new study on situation of urban refugees: http://care-international.org/UploadDocument/files/CARE_Syrian%20refugee%20Assessment%20in%20Jordan_April%202014.pdf

Amman, April 15, 2014. Half a million Syrian refugees living in urban areas in Jordan are struggling more than ever to cope with inadequate housing, high debts, rising costs of living and educational challenges for their children, CARE International has found in a new study.

According to CARE’s household assessment of more than 2,200 Syrian refugees, 90 percent of the refugees are living in debt to relatives, landlords, shopkeepers and neighbours and rents have increased by almost a third in the past year.

The insecurity to provide for their families causes increasing levels of stress and sets women at risk of sexual exploitation. In many cases, young sons become the family’s breadwinner to make ends meet. CARE’s study shows that only 52 percent of Syrian refugee boys are currently attending school (compared with 62 percent of girls). This is an improvement to CARE’s findings in last year’s urban assessments, where 40 percent of children were enrolled in school. “But the current number is still too low. Being pulled into the workforce usually means being pulled out of school. Hundreds of thousands of school children have lost up to three years of education. We are losing an entire generation of children, the most critical investment for Syria’s future.”

“Three years after the Syria crisis started refugee families are becoming more and more destitute. The longer they live in neighbouring countries, the more financially vulnerable they become. Families have fled months or years ago, they do not have any savings any more,” says Salam Kanaan, CARE Jordan’s Country Director. More than 80 percent of the refugees in Jordan do not live in camps, but in poor neighbourhoods in the urban areas or the outskirts of Jordan’s cities, often in inadequate dwellings, informal tented settlements and makeshift shelters.

Often they have to share tiny, run-down flats with more than one family. Families have to spend an average of USD 260 per month for rent. For refugees, who have difficulties and high expenses obtaining a work permit in Jordan, being able to pay for rent is one of the most pressing concerns.

36 percent of the families registered with CARE are headed by women. They have fled without their husbands who are either still in Syria, injured or have been killed.

They have to take care of their young children and older relatives, but have difficulties to generate income.

Read More: http://care-international.org/news/press-releases/emergency-response/urban-syrian-refugees-struggle-to-make-ends-meet-in-jordan.aspx#.U00edvl_udQ

#ANS2014

#syrian, #care, #jordan

UK: ” Government `Care and Support’ Comes at a Cost to the `Taxpayer’ Namely Supporting Insurance Providers `Better Known’ as Private Healthcare”

#AceNewsServices says “UK Governments” way of helping people is making sure they protect their interests by looking after business first and our elderly last.

News Story:

Care needs: financial services industry to develop products to help people plan

Government and Association of British Insurers (ABI) have committed to working together to help people plan for their future care costs.

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Care and Support Minister, Norman Lamb, and the Director General of the ABI, Otto Thoresen, have signed a joint ‘statement of intent’ committing to work together to:

  • help people get the information they need to plan and make decisions about how to pay for their long-term care
  • create the right conditions for a larger market of financial products that will give people more choice

Norman Lamb said:

The current care and support system doesn’t work and is hugely unfair. People face losing almost everything they’ve worked hard for or being forced to sell their family home in a time of crisis to pay for the care they need.

Our reforms will not only stop this from happening but will provide the financial services industry with the certainty it needs to develop products that can help people plan for the future. I welcome this commitment from the industry and am excited to see how this new market could transform the way we pay for our care.

Otto Thoresen said:

The insurance industry can play an important role in developing solutions to help people fund their long-term care needs. We have supported the introduction of a new care funding model, and believe the Care Bill provides a sustainable framework for both industry and consumers.

The statement of intent sets out our commitment to working with the government to create the conditions for the development of an insurance market that offers a range of products to help people meet their long-term care needs.

A number of companies have stated a commitment to developing this financial market and have indicated the sorts of products that could emerge. These include Aegon, Aviva, Legal & General and Swiss Re.

Aviva said:

We stand behind the statement of intent as a great summary of how government and the industry can work together in the best interests of consumers. We are committed to the long-term care market and making sure people of an older age have the peace of mind that being adequately planned and prepared for older age brings.

Legal & General said:

Legal & General is committed to helping government by developing workable financial products to help individuals finance long-term care. Likely solutions will involve a mix of products reflecting different individual and family circumstances.

The government is introducing the biggest reforms to the way care people pay for their care in more than 60 years. These reforms will include a cap on the cost of care to protect people from unlimited bills. They will also give people the option of deferring payments so they aren’t forced to sell their homes to pay for the care they need.

These reforms aim to provide greater certainty about what people will be expected to pay and therefore provide greater opportunity for a new market of care products to emerge. In March 2013 the government asked the financial services industry to lead a review of the market, to identify opportunities for new products and barriers to them being realised.

The findings of this industry-led review have now been published, which marks the first step towards giving people greater choice about how they can meet the costs of their care. Swiss Re said:

Swiss Re feels that the issue of social care is important to the UK community and we are pleased to have been actively involved in the review which led up to the statement. The review identified a number of areas where more work is needed to give people access to appropriate information and advice and more choice about how they meet their care costs.

Aegon said:

The growth of platform solutions makes it easier for individuals to look at all of their assets together on a consolidated basis – pensions, other savings and even housing equity. This will allow people to make the best use in later life of the savings and assets they’ve worked hard to build up.

Read the companies’ full statements on the DH media centre’s news feed.

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#acenewsservices, #aegon, #aegon-uk, #association-of-british-insurers, #care, #financial-services, #government, #insurance, #legal-general, #long-term-care, #norman-lamb, #support, #tax-payers, #uk

“Care In The Community” Part Two – Time For A Change!

Today l was working back in my local community with the elderly! The fact is l watched our so- called care services ignore a persons, dignity, free-will and right as a human being! The fact she pays towards this type of care, is so so wrong! I just wanted to shout this person is a vulnerable human being – not a commodity to pay these carers, to ignore the fundamentals of all care, and that is “love and compassion.” But today l made a vow to change the “Care In My Community” for the good not in favour of profit, but in the way God wanted through Jesus Christ, with unconditional love! Amen

Posted from WordPress for BlackBerry.

#austerity, #care, #carers, #healthcare