On January 12, 2026, the Department of Justice (DOJ) announced that False Claims Act (FCA) settlements and judgments exceeded $6.8 billion in fiscal year 2025—the highest annual total in the history of the statute.¹ Over $5.7 billion of these recoveries related to healthcare matters. The outcomes highlighted in the DOJ’s press release confirm the trends described in our 2025 healthcare fraud year in review, including the government’s aggressive posture, expanding enforcement priorities, and evolving theories of liability across the healthcare and life sciences sectors.

This alert summarizes the DOJ’s latest enforcement results, highlights key settlements and judgments, and discusses practical takeaways for healthcare innovators, investors, and stakeholders navigating this dynamic enforcement environment.

I. 2025: An historic year in False Claims Act enforcement

The DOJ’s 2025 FCA enforcement statistics are unprecedented:

• $6.8 billion in total FCA settlements and judgments, which is the highest annual recovery the DOJ has ever reported
• $5.7 billion from healthcare-related matters, inclusive of settlements and of trial judgments obtained by the DOJ and qui tam relators currently on appeal
• 1,297 qui tam lawsuits filed, which is the most filed in any year
• 401 new government investigations opened, reflecting a sustained year-over-year trend of the DOJ initiating its own investigations independent of qui tam relators
• Over $85 billion recovered since Congress strengthened the...

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