Civil fraud recoveries from the healthcare sector more than tripled between 2024 and 2025, signaling that the Trump administration will continue to press hard for provider investigations and financial penalties.
After brief relief in 2024, skilled nursing operators — long a target of whistleblower-led False Claims Act cases — also were subject to more traditional liability claims last year.
That could be a warning as to what’s to come as so-called relators and the government ramp up claims.
That’s according to the annual Healthcare Fraud & Abuse Review published by law firm Bass, Berry & Sims Tuesday.
Overall, federal civil recoveries jumped nearly 150% over two years to reach $6.9 billion in 2025. Healthcare providers were hit with $5.72 billion, or 83%, of that. And their share grew exponentially from 2024, when healthcare cases accounted for just $1.67 million, the lowest level in more than a decade.
“Whether considered purely as lost dollars or more broadly as a significant negative impact on the delivery of healthcare within the United States, there has been little debate that efforts to combat healthcare fraud must remain a high priority for any administration in power,” attorneys with the Tennessee-based firm wrote. “That certainly has been the case with the new administration, which has stressed a continued commitment to healthcare fraud enforcement, and in particular, civil enforcement through the use of the False Claims Act (FCA), since its earliest...
Civil fraud recoveries from the healthcare sector more than tripled between 2024 and 2025, signaling that the Trump administration will continue to press hard for provider investigations and finan...