S1 E12 National Healthcare Fraud Takedown

Send us Fan MailThis Deep Dive looks at the Justice Department's 2025 National Health Care Fraud Takedown, a record-breaking enforcement action that resulted in criminal charges against 324 defendants, including medical professionals, for schemes involving over $14.6 billion in intended loss. The takedown also involved significant asset seizures totaling over $245 million and prevented an additional $4 billion in fraudulent payments. It highlights various fraud types, such as transnational criminal organizations exploiting patient identities and AI, fraudulent wound care, prescription opioid trafficking, and telemedicine and genetic testing fraud. This collaborative effort by multiple federal and state agencies, including the FBI and HHS-OIG, underscores a whole-of-government approach to combating healthcare fraud and emphasizes the use of advanced data analytics and a new Data Fusion Center to detect and prosecute these widespread schemes.Support the show