DOJ Announces Indictments in $14.6 Billion Medicaid, Medicare Fraud Ring

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    DOJ Announces Indictments in $14.6 Billion Medicaid/Medicare Fraud Ring

    June 30, 2025 | Sundance | 75 Comments

    In what is being billed as the largest single takedown of HHS fraud, today the DOJ announced indictments for a massive $14.6 billion Medicaid/Medicare fraud program operated out of the U.S and several foreign countries.

    DOJ PRESS RELEASE – The Justice Department today announced the results of its 2025 National Health Care Fraud Takedown, which resulted in criminal charges against 324 defendants, including 96 doctors, nurse practitioners, pharmacists, and other licensed medical professionals, in 50 federal districts and 12 State Attorneys General’s Offices across the United States, for their alleged participation in various health care fraud schemes involving over $14.6 billion in intended loss. The Takedown involved federal and state law enforcement agencies across the country and represents an unprecedented effort to combat health care fraud schemes that exploit patients and taxpayers.

    Demonstrating the significant return on investment that results from health care fraud enforcement efforts, the government seized over $245 million in cash, luxury vehicles, cryptocurrency, and other assets as part of the coordinated enforcement efforts.

    As part of the whole-of-government approach to combating health care fraud announced today, the Centers for Medicare and Medicaid Services (CMS) also announced that it successfully prevented over $4 billion from being paid in response to false and fraudulent claims and that it suspended or revoked the billing privileges of 205 providers in the months leading up to the Takedown. Civil charges against 20 defendants for $14.2 million in alleged fraud, as well as civil settlements with 106 defendants totaling $34.3 million, were also announced as part of the Takedown.  (continue reading)

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Comments

Avatar grwurston -
#1
324 people's "benefits" just got cut. YES!!
Avatar sully16 -
#2
Just the tip.
Avatar jarasan -
#3
$14 billion holy smokes batman that's a lot of ca$hola! Seriously, how is that possible???
Avatar JAP69 -
#4
This kind of fraud is what galls me.
They debate in the BBB to qualify for  medicaid that there be a 20 hour a week work requirement. Where the he!! are there that many 20 hour a week jobs?
Avatar konane -
#5
This is fantastic, and hope they keep digging.
Avatar CDanaT -
#6
SWEEEEEEEEET !!.Gotta love it when a plan comes together. Criminals being stupid never stops.
Avatar grwurston -
#7
People being subjected to procedures they don't need makes you distrust the medical industry more than ever. Plus one million people's identification and personal info being stolen to be used for fraudulent billing. How long has this been going on?

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