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Tuesday, July 1, 2025

DOJ announces largest-ever $14.6B healthcare fraud takedown - Fierce Healthcare

The Department of Justice announced charges against 324 individuals the law enforcement agency said were behind more than $14.6 billion of healthcare fraud.

The charges were spearheaded by the Health Care Fraud Unit of the Department of Justice Criminal Division’s Fraud Section, and more than double law enforcement’s prior $6 billion record for a coordinated healthcare fraud takedown, according to a Monday release.

Included in the effort were more than $245 million seized by the government during enforcement, and civil settlements with 106 defendants totaling $34.3 million.

“This record-setting Health Care Fraud Takedown delivers justice to criminal actors who prey upon our most vulnerable citizens and steal from hardworking American taxpayers,” Attorney General Pamela Bondi said a release. “Make no mistake—this administration will not tolerate criminals who line their pockets with taxpayer dollars while endangering the health and safety of our communities.”

Further, the Centers for Medicare and Medicaid Services said the enforcement effort prevented the payout of more than $4 billion of false and fraudulent claims, with 205 associated providers having their billing privileges pulled in recent months.

The Department of Health and Human Services Office of Inspector General (HHS-OIG), as well as the Drug Enforcement Administration, the Federal Bureau of Investigation and other federal and state law enforcement collaborated with the DOJ’s Health Care Fraud Unit.

“The scale of...



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