Texas Insurance Agency Cites Fraud Fund Recoveries

• The Texas Department of Insurance’s Fraud Unit said it contributed to investigations that resulted in almost $58 million in court-ordered restitution last year.
• More than 20 TDI investigators stationed around the state looked into over 350 insurance fraud allegations — focusing on cases with the biggest possible impact, including workers’ compensation cases.
• One investigation helped stop Dallas pain doctors Desi and Deno Barroga, who were convicted of fraud related to their overprescribing opioids and falsely billing health plans for at least $45 million.
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CMS Sets ‘Intro to MSP for Beneficiary Representatives’ Webinar

• The Centers for Medicare & Medicaid Services (CMS) are hosting an “Introduction to Medicare Secondary Payer (MSP) for Beneficiary Representatives” webinar on March 27, 2025 at 1:00 pm ET.
• The presentation is designed to support the attorney and beneficiary representative communities and review the basics of MSP, Group Health vs. Non-Group Health Coordination of Benefits, and MSP recovery.
• The presentation will be followed by a Q&A session.
• MSP-related questions can be submitted prior to the webinar and participants are encouraged to send them to the dedicated resource mailbox at PL110-173SEC111-comments@cms.hhs.gov.
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Texas Mutual Okays Additional $240 Million for Texicare Health Affiliate

• Texas Mutual will distribute $240 million to its Texicare Health Insurance to help the affiliate expand across the state.
• Texas Mutual, the state’s biggest provider of workers’ compensation insurance, will distribute the funds over the next several years, bringing its approved funding to $300 million.
• Last year, Texicare launched its healthcare options in Lubbock, Amarillo, Midland, Odessa, Houston and El Paso, with health plans to expand to additional markets in 2025.
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