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Tuesday, April 22, 2025

False Claims Act Enforcement Trends in Healthcare: FY 2024 | Akerman LLP - Health Law Rx - JD Supra

The Department of Justice (DOJ) released its annual False Claims Act (FCA) enforcement statistics on January 15, 2025, announcing that it had recovered in excess of $2.9 billion from FCA resolutions during Fiscal Year (FY) 2024 (ending September 30, 2024).

The $2.9 billion recovered in FY 2024 reflects a modest (approximately 5 percent) increase from the nearly $2.8 billion that the DOJ recovered under the FCA in FY 2023. FY 2024 is also the second-highest recovery since FY 2020, but still amounts to less than half of the highwater mark of $6.1 billion recovered in FY 2014. Since FY 2009, the government’s FCA recovery has not dipped below $2.2 billion.

The healthcare industry once again played a disproportionate role in FCA recoveries, accounting for over $1.67 billion, or more than 57 percent, of the $2.9 billion in total FCA proceeds in FY 2024. Despite these numbers, this percentage marks the second consecutive year in which healthcare recoveries reflect a lower percentage of overall recoveries than the prior year. Over the last decade, the portion of FCA recoveries attributable to the healthcare industry has typically been between 80 to 88 percent of total receipts. In 2023, the healthcare industry’s share dropped to 66 percent. This year, that share has dropped further — FY 2024’s 57 percent represents the lowest percentage of total FCA recoveries related to healthcare since FY 2017, when that number was just over 62 percent. However, healthcare has consistently been...



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