Final Defendant Sentenced in $80 Million Healthcare Fraud Conspiracy

A Florida man was sentenced today to 210 months in prison for conspiracy to commit healthcare fraud and wire fraud. Alberto Orian Gonzalez-Delgado, 46, of Miami, pleaded guilty to conspiracy to commit healthcare fraud and wire fraud on March 4. Gonzalez-Delgado is the last remaining defendant in this case to be sentenced. According to court documents, eight individuals and their co-conspirators operated a fraud and money laundering organization responsible for executing a series of frauds in Florida and Michigan through which they billed Medicare for over $80 million, actually receiving approximately $53 million for fraudulent claims.

The organization recruited and directed nominee owners to fraudulently purchase home health agencies, as well as to open sham corporations in their names, along with corresponding personal and corporate bank accounts. After the acquisition of the home health agency was completed, the group began fraudulently billing Medicare for services that were never provided. The home health agencies had no medical staff and provided no services to any beneficiaries. The group, upon receiving the Medicare money, would funnel that through several layers of shell companies and bank accounts in an effort to launder the money before converting it to cash at ATMs and check cashing stores in Miami. Once the nominee owners completed their work, the group required them to permanently move to Cuba to avoid detection and live beyond the jurisdiction of the United States.

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