Canada: St. Michael’s Hospital fired 31 employees for $200,000 in alleged benefits plan misuse 

Canadian money by Sara Long

From the Toronto Star news item: A Toronto hospital and research centre fired dozens of employees for alleged misuse of its employee benefits plan. St. Michael’s Hospital spokesperson Leslie Shepherd said in a statement Tuesday that 31 employees were fired after $200,000 in irregularities was discovered during a routine audit. “The hospital takes its role […]

Pharmacist accused of defrauding province was implicated in another police investigation, his trial hears 

From the Windsor Star news article: …Shae Lynn Stanbra, who was a detective-constable assigned to investigate health-care fraud for the OPP’s anti-rackets squad, testified she had been probing another individual when D’Angelo’s name “came up.” Cautioned by assistant Crown attorney Tom Meehan not to give details of the other investigation, Stanbra merely said it morphed […]

Canada — Suspected illegal basement cosmetic surgery clinic raided in Delta 

Crime Scene - Do Not Cross. by Alan Cleaver

From the CBC news item: A suspected illegal surgery clinic in Delta, where cosmetic procedures are alleged to have been performed by a fake doctor, has been raided by the College of Physicians and Surgeons, escorted by Delta Police. ​The raid happened Dec 20, after a B.C. Supreme Court judge authorized the search of the private home a woman shares with […]

Canada: Mayor calls for terminations after medication fraud report 

Magnifying glass by John Lester

From the Toronto Star news article: …The mayor’s comments come after a scathing report released Tuesday by auditor Beverly Romeo-Beehler looking into “potentially excessive and unusual drug claims” found widespread problems with claims related to erectile dysfunction (ED) drugs Viagra and Cialis, as well as opioids including the highly addictive painkillers oxycodone and fentanyl. One […]

Canada — Barrie woman among seven arrested after health fraud investigation 

Canadian money by Sara Long

From the Barrie Today news article: Since March 2014, the Health Fraud Investigation Unit has been investigating a complaint from the Ontario Ministry of Health and Long Term Care (MOHLTC) Assistive Devices Program (ADP) regarding a registered ADP vendor of mobility aids and several registered authorizers. It is alleged that the vendor and authorizers were […]

Canada–Canada should be prepared for “unprecedented” levels of cyber risk,warns ex-CSIS official 

From the IT World Canada news item: “I’ve never seen it at this velocity and level of complexity in my 30 years in security,” said Ray Boisvert, the president and CEO of I-Sec Integrated Strategies and a senior associate at communications firm Hill & Knowlton Strategies. Boisvert should know. He’s also the former assistant director […]

Canada–Expectant Ontario moms ‘duped’ by 3D ultrasounds to sue 

From the Hamilton Spectator news item: Jennifer Cusimano, one of two expectant mothers who first noticed matching images from BabyView 3D Prenatal Imaging in Pickering, said 43 parents-to-be believe they were given identical photos after getting 3D ultrasounds at the clinic. It began when members of a Facebook group for mothers expecting a baby in […]

Canada — Investigators trawl social media to catch fraud 

Magnifying glass by John Lester

From the Canadian Insurance Top Broker Magazine news item: And those who get caught online aren’t career criminals. Most often, they’re everyday policyholders who file an exaggerated or outright fake personal injury claim to make the most of a broken ankle. “Professionals typically don’t advertise their activities on social media,” says Chris Mathers, president of […]

Former Fraser Health chief Dr. Nigel Murray facing fraud probe in New Zealand over expense claims 

From the news item: …Murray was the highest paid ($444,000 total compensation) health authority CEO when he worked in B.C. from 2007 to 2014. He then moved back to his native New Zealand but resigned as the chief of the Waikato district board last month after an independent inquiry found numerous potential breaches of his […]

Results from Our 2015 Annual Survey of Legislation by Jurisdiction 

This report is based on information collected by the Global Health Care Anti-Fraud Association from its members around the world. The survey canvassed our member organizations to assess the state of health care fraud legislation as it stood in 2015. All of the countries reporting said that there is some from of anti-fraud legislation in […]