New Americans Sent to Slammer over Massive Health Care Fraud Scheme

“[A]fter arriving in the United States from Cuba on a raft seeking refuge and a better life…they proceeded to build a vast empire of fraud.”

I could not find a photo of the Cuban crooks.

 

Here is the news directly from the US Justice Department, and I must say this is one of the better press releases I’ve seen from the feds especially for its mention of the fact that the Cuban crooks were refugees who then took advantage of us. (Immigration history is rarely mentioned.)

(Thanks to one of my many readers who share tips with me.)

We gave them an opportunity for a good life, they ripped us off and now we must pay for their incarceration!

Husband and Wife Sentenced to Prison for Roles in $38 Million Health Care Fraud and Wire Fraud Scheme

Rodolfo Pichardo, 71, of Hialeah, Florida was sentenced to more than 15 years in prison for masterminding a $38 million health care fraud and wire fraud scheme. His wife Marta Pichardo, 66, was sentenced to 8 years in prison for her role in the scheme.

[….]

Rodolfo Pichardo and Marta Pichardo previously pled guilty to conspiracy to commit health care fraud and wire fraud. On December 4, 2019, Rodolfo Pichardo, was sentenced by U.S. District Judge Rodolfo A. Ruiz to 188 months in prison, to be followed by 3 years of supervised release. He was ordered to pay $33,841,576 in restitution. Today, Marta Pichardo was sentenced by Judge Ruiz to 96 months in prison, to be followed by 3 years of supervised release. She was ordered to pay $10,482,178 in restitution.

According to court documents, after arriving in the United States from Cuba on a raft seeking refuge and a better life, the Rodolfo Pichardo and his wife Marta Pichardo settled in Miami-Dade County, Florida where they proceeded to build a vast empire of fraud, consisting of at least six fraudulent home health agencies, three fraudulent therapy staffing companies, and two fraudulent pharmacies. Each of these entities purportedly provided home health services, therapy services, and prescription drugs, respectively, to qualified Medicare beneficiaries, though in fact and as both Rodolfo and Marta Pichardo knew, they did not.

From May 2010 through September 2016, the Pichardos and their co-conspirators used this empire to submit more than $38 million in false and fraudulent claims to Medicare, for which the trust-based program then paid out more than $33 million.

Fueled their lavish lifestyle with your money!

The Pichardos then used this money to purchase multiple properties, high-end vehicles, expensive jewelry, plane tickets, vacations, cosmetic procedures, and more, both for themselves and their family members.

As part of the scheme, Rodolfo Pichardo offered and paid kickbacks, both by cash and by check, to numerous patient recruiters, in exchange for the referral of Medicare beneficiaries to home health agencies that he owned. The conspirators also offered and paid cash kickbacks to owners and operators of multiple Miami-Dade medical clinics, in return for acquiring medically unnecessary home health prescriptions for the recruited Medicare beneficiaries. These prescriptions were then used by the Pichardos’ various home health agencies and pharmacies to bill Medicare for purported services and pharmaceutical drugs that were provided to allegedly qualified Medicare beneficiaries

During the long-running scheme, the Pichardos took several calculated steps to conceal the fraud and avoid detection, including using nominee owners, changing names and locations of their fraudulent entities, and creating shell companies to conceal the receipt of the fraud proceeds, hide assets and transactions, and divert proceeds for both personal use and to further the fraud.

There is a bit more here.

So much for Michael Bloomberg’s New American Economy built on immigrant entrepreneurs.

As I have said before, the President should work some of the fantastic fraud busts his Justice Department is exposing into each rally he attends.  He could direct his staff to find one or two relevant to whatever state he is visiting.

I think Florida fraudsters might outnumber Michigan schemers here at ‘Frauds and Crooks’, but I’ll check my archives tomorrow on this blogs first anniversary!

Don’t forget to check in at Refugee Resettlement Watch which has been taking most of my attention in recent weeks!

Happy New Year!

3 thoughts on “New Americans Sent to Slammer over Massive Health Care Fraud Scheme

  1. Federal bureaucrats are more likely to mention Cuban refugee status because Cubans have been the most anti-communist and Republican immigrant group. Don’t look for any changes with other immigrant groups.

  2. Anytime I read about Medicare + Fraud + Florida, I wonder what healthcare billionaire Miguel “Mike” Fernandez is doing. Aside from forming his wildly successful healthcare hedge fund, he’s been busy forming PACs to pry open the borders even wider, bribe politicians of both parties, lecturing Americans about what Americans are (even though he was born and raised in Cuba), defeating E-Verify, working hard to get illegals the driver’s licenses they need and deserve! Here’s hoping he goes down in a hail of federal prosecutions for misuse of carryover interest. But, he’s a good Catholic and family man, so he’s entitled to ruin the country for his own purposes, right?

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