2015 Schedule at a Glance

Global Health Care Fraud Prevention Summit
November 16 – 17, 2015 San Diego, California, USA

Monday, November 16

11:00 a.m. – 1:00 p.m. Conference Registration


1:00 p.m. – 1:15p.m. Summit Welcome & Introduction

Louis Saccoccio
CEO, National Health Care Anti-Fraud Association

Program Master of Ceremony
Ted Doyle, AHFI
VP, Healthcare Markets, Performant

1:15 p.m. – 2:00 p.m. Harnessing Technologies to Combat Health Care Fraud

Robert Case
Lead Scientist, MITRE

Michael Fulk
Lead, Information Systems Engineering, The MITRE Corporation

2:00 p.m. – 2:15 p.m. Discussion Break


2:15 p.m. – 3:00 p.m. Strategies to Raise Fraud Awareness

Discussion of the use of media and other social awareness tools to inform key audiences (government, consumer, regulatory) about the challenges of health care fraud.

Moderator: Paul Vincke
Managing Director, European Healthcare Fraud & Corruption Network


  • Jenna LeBlanc
    Director, Strategic Communications Branch, Financial Services Commission of Ontario
  • Leigh McKenna
    Director, Government & Public Affairs, National Health Care Anti-Fraud Association
  • Simon Peck, MD
    Head of Investigations, AXA PPP Healthcare

3:00 p.m. – 3:45 p.m. Counterfeit Drugs – a Global Epidemic

A look at the cross border challenges of counterfeit drugs: sources, quality and distribution.

Moderator: Ray Collins
Director, Health Insurance Counter Fraud Group


  • Chris Auger
    Detective, Organized Crime Enforcement Bureau, Drug Enforcement Unit, Ontario Provincial Police
  • Gary Cantrell, OIG
    Assistant Inspector General for Investigations, U.S. Department of Health & Human Services, OIG-OI
  • Nathalie DeWulf
    Communication Manager, European Healthcare Fraud & Corruption Network

3:45 p.m. – 4:00 p.m. Break


4:00 p.m. – 4:45 p.m. Medical Tourism

Examination of the challenges of medical tourism and current schemes the partners have identified.

Moderator: Karen Voin
Director, Health & Dental Policy Canadian Life and Health Insurance Association Inc.


  • Dawn Brockman
    Financial Crime Manager, Bupa International
  • Ralph Carpenter
    Senior Director, SIU, Aetna
  • Leiza McGrath
    Manager, Investigative Services & Web Controls, Sun Life Financial
  • Paul Vincke
    Managing Director, European Healthcare Fraud & Corruption Network

4:45 p.m. – 5:15 p.m. Fight Health Care Around the World Leveraging Emerging Technologies from the United States

Robert Rolf
VP, Healthcare Compliance, CGI Federal, Inc.

6:30 p.m. – 9:00 p.m. Reception & Dinner


Tuesday, November 17

7:45 a.m. – 8:15 a.m. Breakfast


8:15 a.m. – 9:30 a.m. Fraud Schemes around the Globe

From the partners, a discussion of fraud hot spots and emerging schemes.

Moderator: Hleli Nhlapo
Medical Schemes Division, Dental Information Systems


  • Dorian Dwyer
    Detective Staff Sergeant/Unit Commander, Health Fraud Investigations,
    Ontario Provincial Police
  • Tom Hixson
    Audit Director, Cigna
  • Steve Knox
    Aetna International (Europe) Ltd.
  • Margaret Street
    Manager, Hospital & Medical Utilization Review, Bupa Australia

9:30 a.m. – 9:45 a.m. Break


9:45 a.m. – 11:30 a.m. Global Knowledge Café

The Café offers an opportunity for high energy roundtable discussion on all aspects of health care anti-fraud activities, coupled with intense networking.

  • Behavioral Economics
  • Building Global Associations
  • Counterfeit Drugs
  • Data Pooling/Information Sharing
  • Fraud Awareness
  • Fraud Trends
  • Integrity Management
  • International SIUs
  • Medical Tourism
  • Role of Analytics
  • Strengthening Government Relations


Leader: Joel Alleyne
Executive Director, Canadian Health Care Anti-fraud Association

11:30 a.m. – 12:00 p.m.
Closing Comments and Summit Conclusion

Ted Doyle, AHFI
VP, Healthcare Markets, Performant

Louis Saccoccio
CEO, National Health Care Anti-Fraud Association