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

Panelists:

• 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

Panelists:

• 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.

Panelists:

• 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

Panelists:

• 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.

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