Largest Health Care Fraud Takedown in History Announced

Takedown

The Justice Department’s 2025 National Health Care Fraud Takedown resulted in criminal charges against 324 defendants, including 96 doctors, nurse practitioners, pharmacists, and other licensed medical professionals, in 50 federal districts and 12 state attorneys general’s offices across the United States, for their alleged participation in various health care fraud schemes involving over $14.6 billion in intended loss. The Centers for Medicare & Medicaid Services (CMS) successfully prevented over $4 billion from being paid in response to false and fraudulent claims and suspended or revoked the billing privileges of 205 providers in the months leading up to the takedown. In one action, the defendants allegedly used artificial intelligence (AI) to create fake recordings of Medicare beneficiaries purportedly consenting to receive certain products. Read a story from the Associated Press and a Department of Justice press release.

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