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South Korean police said Tuesday they were investigating 27 North Korean refugees for swindling private insurance firms out of hundreds of thousands of dollars in bogus medical claims. Police said the refugees faked illness in collusion with hospitals to claim a total of 1.04 billion won ($909,000) from insurance firms between 2007 and 2010. While listed as hospitalised, they frequented saunas, restaurants and even nightclubs. The scam also involved a 71-year-old doctor and five hospital employees who conspired with the refugees to claim a separate 104 million won from the state health insurance agency, police said. Police are also investigating two brokers on suspicion of helping the refugees send some of the proceeds to relatives in the North. Fraudsters involved in medical insurance rackets have previously made use of North Koreans. In 2008, police charged 41 refugees involved in bogus medical claims. More than 23,500 North Koreans have settled in the South since the 1950-53 war. They get government financial help along with job education but many fail to adapt to their new environment.

http://www.rnw.nl/english/bulletin/n-korean-refugees-investigated-insurance-fraud South Korean police said Tuesday they were investigating 27 North Korean refugees for swindling private insurance firms out of hundreds of thousands of dollars in bogus medical claims. Police said the refugees faked illness in collusion with hospitals to claim a total of 1.04 billion won ($909,000) from insurance firms between 2007 and 2010.

The 40-year old Chen who is now considered a dissident became an international human rights inspiration to many Chinese after earning the ire of the local government for exposing forced abortions in line with the country's one-child policy. The self-taught lawyer took to the US embassy after his escape, apparently to ask for help but was eventually ushered into the Beijing Hospital.

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TELEGRAPH UK - Four pairs in the women's doubles were disqualified from the Olympics for underperforming in the final group stages on Tuesday night as they deliberately tried to lose by spraying shots wide or into the net to secure an easier quarter-final draw. The players, the Chinese world champions Wang Xiaoli and Yu Yang, Greysia Poli and Meiliana Jauhari of Indonesia and two South Korean pairs, Jung Kyung-eun and Kim Ha-na, and Ha Jung-eun and Kim Min Jung, were jeered by the crowd. The organising committee for the Games will not be offering refunds to spectators who attended on Tuesday evening, despite Lord Coe describing the incident as "depressing" and asking: "Who wants to sit through something like that?" Officials from the sport's governing body conducted a frantic round of meetings as they hastily arranged a disciplinary panel. An official announcement of its findings was only made public as spectators took their seats for last night's women's doubles quarter-finals. Pairs from Canada, South Africa, Russia and Australia, who had thought their Olympics were over, had to hastily prepare for a return to court in front of a sell-out crowd. "We found out we were playing at 3 o'clock," said Michelle Edwards, of South Africa. "Everything was so last minute. We packed our bags, rush, rush, rush and here we are. The mental preparation was almost zero." South Africa lost 2-0 to Russia but Australia took Canada to three sets before losing. The episode was deeply embarrassing for the badminton authorities who would have been aware that Jacques Rogge, president of the International Olympic Committee, recently described match fixing as the biggest threat to the Games. With all athletes and coaches swearing to uphold the Olympic oath at the opening ceremony, this damaged the integrity of the Games. The stakes were high for the badminton authorities with the prospect of two sports being removed from the Olympics before Rio 2016. "We are very

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According to a senior official's statement to Springhill Care Group, Chen has indeed went into the embassy that day and has requested for medical treatment for his injured foot. American medical personnel have then conducted medical tests and made appropriate treatment during the time he was there. Immediately after the incident, the Chinese government has expressed its disapproval about the entire affair, demanding an apology from the US for taking Chen in. "What the U.S. side should do now is neither to continue misleading the public and making every excuse to shift responsibility and conceal its wrongdoing, nor to interfere in the domestic affairs of China," said Chinese Foreign Ministry spokesman Liu Weimin.

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TELEGRAPH UK - Four pairs in the women's doubles were disqualified from the Olympics for underperforming in the final group stages on Tuesday night as they deliberately tried to lose by spraying shots wide or into the net to secure an easier quarter-final draw. The players, the Chinese world champions Wang Xiaoli and Yu Yang, Greysia Poli and Meiliana Jauhari of Indonesia and two South Korean pairs, Jung Kyung-eun and Kim Ha-na, and Ha Jung-eun and Kim Min Jung, were jeered by the crowd. The organising committee for the Games will not be offering refunds to spectators who attended on Tuesday evening, despite Lord Coe describing the incident as "depressing" and asking: "Who wants to sit through something like that?" Officials from the sport's governing body conducted a frantic round of meetings as they hastily arranged a disciplinary panel. An official announcement of its findings was only made public as spectators took their seats for last night's women's doubles quarter-finals. Pairs from Canada, South Africa, Russia and Australia, who had thought their Olympics were over, had to hastily prepare for a return to court in front of a sell-out crowd. "We found out we were playing at 3 o'clock," said Michelle Edwards, of South Africa. "Everything was so last minute. We packed our bags, rush, rush, rush and here we are. The mental preparation was almost zero." South Africa lost 2-0 to Russia but Australia took Canada to three sets before losing. The episode was deeply embarrassing for the badminton authorities who would have been aware that Jacques Rogge, president of the International Olympic Committee, recently described match fixing as the biggest threat to the Games.

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As the rapid aging of Asia's population creates challenges for governments and societies, new opportunities are emerging for businesses serving the needs of the elderly and their caretakers. While population aging is a global phenomenon, the Asian-Pacific region is expected to see a particularly drastic demographic change over the next few decades. The number of elderly persons in the region-already home to more than half of the world's population aged 60 and over-is expected to triple to more than 1.2 billion by 2050, when one in four people in the region will be over 60 years old, according to the United Nations Economic and Social Commission for Asia and the Pacific.

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As the rapid aging of Asia's population creates challenges for governments and societies, new opportunities are emerging for businesses serving the needs of the elderly and their caretakers. While population aging is a global phenomenon, the Asian-Pacific region is expected to see a particularly drastic demographic change over the next few decades. The number of elderly persons in the region-already home to more than half of the world's population aged 60 and over-is expected to triple to more than 1.2 billion by 2050, when one in four people in the region will be over 60 years old, according to the United Nations Economic and Social Commission for Asia and the Pacific. Across Asia, large corporations and entrepreneurs in various industries are racing to come up with new products and services for the elderly, while health-care- related businesses are seeing soaring demand. Among various fields of health care for the elderly, nursing homes represent one of the fastest-growing sectors. In Japan, companies that previously had little to do with the issue of aging have jumped on the bandwagon. In 2005, Watami Co., which operates Japanese- style izakaya pubs serving food and drinks, entered a new business of running nursing homes. In the most recent fiscal year, the nursing business was more profitable than its izakaya business. Demand for Watami's new business is robust because Japan's population is the world's grayest, according to a 2009 United Nation report, with nearly 30% aged 60 or older. Other parts of Asia, such as China, Taiwan, Hong Kong, South Korea and Singapore, are also anticipating a surge in the percentage of elderly citizens. In China, people over the age of 60 now account for 13.3% of the country's population of 1.34 billion, up from 10.3% in 2000, according to the National Bureau of Statistics, and the aging trend is expected to accelerate. In January, China's state-run Xinhua news agency wrote about challenges facing nursing ho

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As the rapid aging of Asia's population creates challenges for governments and societies, new opportunities are emerging for businesses serving the needs of the elderly and their caretakers. While population aging is a global phenomenon, the Asian-Pacific region is expected to see a particularly drastic demographic change over the next few decades. The number of elderly persons in the region-already home to more than half of the world's population aged 60 and over-is expected to triple to more than 1.2 billion by 2050, when one in four people in the region will be over 60 years old, according to the United Nations Economic and Social Commission for Asia and the Pacific. Across Asia, large corporations and entrepreneurs in various industries are racing to come up with new products and services for the elderly, while health-care- related businesses are seeing soaring demand. Among various fields of health care for the elderly, nursing homes represent one of the fastest-growing sectors. In Japan, companies that previously had little to do with the issue of aging have jumped on the bandwagon. In 2005, Watami Co., which operates Japanese- style izakaya pubs serving food and drinks, entered a new business of running nursing homes. In the most recent fiscal year, the nursing business was more profitable than its izakaya business. Demand for Watami's new business is robust because Japan's population is the world's grayest, according to a 2009 United Nation report, with nearly 30% aged 60 or older. Other parts of Asia, such as China, Taiwan, Hong Kong, South Korea and Singapore, are also anticipating a surge in the percentage of elderly citizens. In China, people over the age of 60 now account for 13.3% of the country's population of 1.34 billion, up from 10.3% in 2000, according to the National Bureau of Statistics, and the aging trend is expected to accelerate. In January, China's state-run Xinhua news agency wrote about challenges facing nursing ho

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As the rapid aging of Asia's population creates challenges for governments and societies, new opportunities are emerging for businesses serving the needs of the elderly and their caretakers. While population aging is a global phenomenon, the Asian-Pacific region is expected to see a particularly drastic demographic change over the next few decades. The number of elderly persons in the region-already home to more than half of the world's population aged 60 and over-is expected to triple to more than 1.2 billion by 2050, when one in four people in the region will be over 60 years old, according to the United Nations Economic and Social Commission for Asia and the Pacific. Across Asia, large corporations and entrepreneurs in various industries are racing to come up with new products and services for the elderly, while health-care- related businesses are seeing soaring demand. Among various fields of health care for the elderly, nursing homes represent one of the fastest-growing sectors. In Japan, companies that previously had little to do with the issue of aging have jumped on the bandwagon. In 2005, Watami Co., which operates Japanese- style izakaya pubs serving food and drinks, entered a new business of running nursing homes. In the most recent fiscal year, the nursing business was more profitable than its izakaya business. Demand for Watami's new business is robust because Japan's population is the world's grayest, according to a 2009 United Nation report, with nearly 30% aged 60 or older. Other parts of Asia, such as China, Taiwan, Hong Kong, South Korea and Singapore, are also anticipating a surge in the percentage of elderly citizens. In China, people over the age of 60 now account for 13.3% of the country's population of 1.34 billion, up from 10.3% in 2000, according to the National Bureau of Statistics, and the aging trend is expected to accelerate. In January, China's state-run Xinhua news agency wrote about challenges facing nursing ho

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As the rapid aging of Asia's population creates challenges for governments and societies, new opportunities are emerging for businesses serving the needs of the elderly and their caretakers. While population aging is a global phenomenon, the Asian-Pacific region is expected to see a particularly drastic demographic change over the next few decades. The number of elderly persons in the region-already home to more than half of the world's population aged 60 and over-is expected to triple to more than 1.2 billion by 2050, when one in four people in the region will be over 60 years old, according to the United Nations Economic and Social Commission for Asia and the Pacific. Across Asia, large corporations and entrepreneurs in various industries are racing to come up with new products and services for the elderly, while health-care- related businesses are seeing soaring demand. Among various fields of health care for the elderly, nursing homes represent one of the fastest-growing sectors. In Japan, companies that previously had little to do with the issue of aging have jumped on the bandwagon. In 2005, Watami Co., which operates Japanese- style izakaya pubs serving food and drinks, entered a new business of running nursing homes. In the most recent fiscal year, the nursing business was more profitable than its izakaya business. Demand for Watami's new business is robust because Japan's population is the world's grayest, according to a 2009 United Nation report, with nearly 30% aged 60 or older. Other parts of Asia, such as China, Taiwan, Hong Kong, South Korea and Singapore, are also anticipating a surge in the percentage of elderly citizens. In China, people over the age of 60 now account for 13.3% of the country's population of 1.34 billion, up from 10.3% in 2000, according to the National Bureau of Statistics, and the aging trend is expected to accelerate. In January, China's state-run Xinhua news agency wrote about challenges facing nursing ho

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As the rapid aging of Asia's population creates challenges for governments and societies, new opportunities are emerging for businesses serving the needs of the elderly and their caretakers. While population aging is a global phenomenon, the Asian-Pacific region is expected to see a particularly drastic demographic change over the next few decades. The number of elderly persons in the region-already home to more than half of the world's population aged 60 and over-is expected to triple to more than 1.2 billion by 2050, when one in four people in the region will be over 60 years old, according to the United Nations Economic and Social Commission for Asia and the Pacific. Across Asia, large corporations and entrepreneurs in various industries are racing to come up with new products and services for the elderly, while health-care- related businesses are seeing soaring demand. Among various fields of health care for the elderly, nursing homes represent one of the fastest-growing sectors. In Japan, companies that previously had little to do with the issue of aging have jumped on the bandwagon. In 2005, Watami Co., which operates Japanese- style izakaya pubs serving food and drinks, entered a new business of running nursing homes. In the most recent fiscal year, the nursing business was more profitable than its izakaya business. Demand for Watami's new business is robust because Japan's population is the world's grayest, according to a 2009 United Nation report, with nearly 30% aged 60 or older. Other parts of Asia, such as China, Taiwan, Hong Kong, South Korea and Singapore, are also anticipating a surge in the percentage of elderly citizens. In China, people over the age of 60 now account for 13.3% of the country's population of 1.34 billion, up from 10.3% in 2000, according to the National Bureau of Statistics, and the aging trend is expected to accelerate. In January, China's state-run Xinhua news agency wrote about challenges facing nursing homes, saying "there a

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WASHINGTON - The Obama administration is upping the ante in the fight against health care fraud, joining forces with private insurers and state investigators on a scale not previously seen in an attempt to stanch tens of billions of dollars in losses. Health and Human Services Secretary Kathleen Sebelius said in a statement Thursday that the new public-private partnership "puts criminals on notice that we will find them and stop them," while Attorney General Eric Holder called it "a critical step forward" against fraud, an endemic problem plaguing programs like Medicare and Medicare as well as private insurance companies. Details of the collaboration remain to be worked out, but the possibilities include sharing information on new fraud schemes as they pop up, using claims data to catch scams such as payments billed to different insurers on the same day for care purportedly delivered to the same patient in different cities, and using computer analysis to spot emerging patterns of fraud.

The Washington State Attorney General's Office is joining the in warning consumers about a new scam targeting seniors. "Do not give personal details to callers posing as government officials attempting to collect your health information as part of the new Affordable Care Act," said Shannon Smith, Division Chief for the Attorney General's Consumer Protection Division.

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http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1649474Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government. Under some estimates, up to 10 percent of that amount - no one quite knows for sure - might be lost to fraud.

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Following the Money in Health Care Fraud: Reflections on a Modern-Day Yellow Brick Road http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1649474 Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government.

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Abstract: Health care fraud is all about the money. The United States spent an estimated $2.5 trillion on health care in 2009, with over $918 billion of that coming from the federal government. Under some estimates, up to 10 percent of that amount - no one quite knows for sure - might be lost to fraud. But the relationship between health care fraud and the U.S. health care system is far more complex than might first appear. Would-be "fraudsters" are not the only ones who respond to the financial incentives in the system. Due to the unique nature of the laws used to pursue health care fraud, both public and private prosecutors also follow the money in choosing their targets and both may share in the spoils of a successful prosecution. Perceptions about the money lost to health care fraud also have enormous influence on policymakers, as exemplified by the recent health care reform debate. In short, money may drive health care fraud, but not all roads lead in the same direction. This essay explores three different perspectives on the ways in which health care fraud "follows the money" - the would-be perpetrators of fraudulent schemes, the public and private prosecutors who pursue fraudulent activities, and the policymakers who work to prevent fraud and recapture lost funds for legitimate program purposes. Number of Pages in PDF File: 27 Keywords: Health Care, Health Care Fraud, Crime, White Collar Crime Accepted Paper Series

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