A Failed Eight-man Defense

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Cropped shot of a doctor talking to a senior patient in a clinic

Alberto Orian Gonzalez-Delgado, 46, of Miami, Fla., has been sentenced after conspiring to commit health care fraud and wire fraud.

Co-conspirators including Eduardo Rubal, 41, Vicente Gonzalez Acosta, 50, Alexander Fernandez, 49, Yaxing Tapanes, 24, Jose Carlos Valladares Rivera, 43, Hector Suarez Gonzalez, 45, and Antonio Jimenez, 54, have all been sentenced according to their role in the scheme as well. The men received between 48 and 210 months in prison. (At least they will have friends during their stay in prison.)

The eight men conspired to run a fraud and money laundering organization in Florida and Michigan. As part of the operation, the team illegally billed Medicare for more than $80 million. The fraudsters received $53 million.

Here’s how it all went down. The co-conspirators recruited and directed nominee owners to purchase home health agencies. They were also instructed to open sham corporations in their names. After acquiring the home health agency, the eight men began to bill Medicare for services. (No surprise here – these services were never actually provided. In fact, there was no medical staff to support the claims.) 

After receiving funds, the group went through layers of shell companies and bank accounts so they could launder the money before transitioning it to cash at ATMs and Miami-based check-cashing stores. The eight men demanded that the nominee owners move to Cuba after they completed their work. (Despite thinking this would help them avoid detection and get them out of U.S. jurisdiction, the co-conspirators were still caught before they could leave the country.)

Unfortunately, the eight-man defense failed. On March 4, 2021, Gonzalez-Delgado pleaded guilty to his alleged actions and has been sentenced to 210 months in prison.

Today’s Fraud of the Day comes from a Department of Justice press release, “Final Defendant Sentenced in $80 Million Health Care Fraud Conspiracy,” dated May 27, 2021.

A Florida man was sentenced today to 210 months in prison for conspiracy to commit health care fraud and wire fraud.

Alberto Orian Gonzalez-Delgado, 46, of Miami, pleaded guilty to conspiracy to commit health care fraud and wire fraud on March 4. Gonzalez-Delgado is the last remaining defendant in this case to be sentenced. Eduardo Rubal, 41, of Miami, pleaded guilty to conspiracy to commit health care fraud and wire fraud and was sentenced to 210 months; Vicente Gonzalez Acosta, 50, of Miami, pleaded guilty to conspiracy to commit health care fraud and wire fraud and was sentenced to 188 months; Alexander Fernandez, 49, of Miami, pleaded guilty to conspiracy to commit money laundering and was sentenced to 120 months; Yaxing Tapanes, 24, of Hialeah, pleaded guilty to conspiracy to commit money laundering and was sentenced to 97 months; Jose Carlos Valladares Rivera, 43, of Miami, pleaded guilty to conspiracy to commit money laundering and was sentenced to 97 months; Hector Suarez Gonzalez, 45, of Hialeah, pleaded guilty to conspiracy to commit health care fraud and wire fraud and was sentenced to 78 months; Antonio Jimenez, 54, of Hialeah, was sentenced to 48 months.

 

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Larry Benson, Senior Director of Strategic Alliances, LexisNexis Risk Solutions - Government

Larry Benson is responsible for developing strategic partnerships and solutions for the government vertical. His expertise focuses on how government programs are defrauded by criminal groups, and the approaches necessary to prevent them from succeeding.

Mr. Benson has 30 years of experience in sales and business development. Before joining LexisNexis® Risk Solutions, he spent 12 years founding and managing two software technology startups. During the 1990s he spent 10 years as a Regional Director helping to grow a New England-based technology company from 300 employees to 7,000. He started his career with Martin Marietta Aerospace working on laser guided weapons and day/night vision systems.

A sought-after speaker and accomplished writer, Mr. Benson is the principal author of “Fraud of the Day,” a website dedicated to educating government officials about how criminals are defrauding government programs. He has co-authored WTF? Where’s the Fraud? How to Unmask and Stop Identity Fraud’s Drain on Our Government, and Data Personified, How Fraud is Changing the Meaning of Identity.

Benson holds a Bachelor of Science in Physics from Albright College, and earned two graduate degrees – a Master of Business Administration from Florida Institute of Technology, and a Master of Science in Engineering from Lehigh University.