The 2026 National Health Care Fraud Takedown resulted in charges against 455 defendants, including 90 doctors and other licensed medical professionals, for their alleged participation in health care fraud and opioid abuse schemes involving over $6.5 billion in false claims and significant patient harm, including death. The cutting-edge use of data analytics targeted the worst actors. It included actions by the Centers for Medicare and Medicaid Services (CMS) to suspend 1,079 providers and revoke billing privileges for 1,403 providers. Areas prosecuted included wound care, hospice, cardiovascular testing and treatment, urinary catheters, durable medical equipment (DME), and opioids. Read a story from USA Today and a Department of Justice press release.
SMP Resource Center products often contain links to copyrighted material. These informational links are provided for convenience and informational purposes to educate; they do not constitute a guarantee, endorsement, or approval by the SMP of the information available on any linked external site. SMP bears no responsibility for the accuracy, legality, or content of the external site or for that of subsequent links. If you have any questions, please email info@smpresource.org
.