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Illinois men face charges for $300m healthcare fraud scheme
The brothers allegedly tried to defraud Medicare, Medicaid, and private insurers by filing claims for COVID-19 testing that was never given.
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Georgia man sentenced to 46 months in prison for Medicare fraud
Patrick C Moore targeted Medicare beneficiaries to accept genetic tests that were not medically necessary or eligible for reimbursement.
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GAO report reveals ACA exchanges vulnerable to fraud
Auditors used fake identities to obtain ACA coverage and found significant instances of Social Security number misuse.
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Three faces of healthcare fraud: the billing practices that cost federal programs millions
Recent DOJ actions, including two Michigan pharmacy schemes and a nationwide wound care provider, show how different types of misconduct can thrive within the same reimbursement system.
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Atrium Health and Senior Living, former CEO sentenced for healthcare fraud and tax conspiracy
The sentencing follows guilty pleas to charges that include diverting Medicare and Medicaid funds for personal expenses and other purposes.
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Founder, clinical president of telehealth company convicted in $100m Adderall fraud scheme
The case demonstrates the first federal prosecution of alleged illegal drug distribution by a telehealth entity.
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Pharma Congress 2025: Enforcement actions, EOs and guidance docs
Conference speakers drew attention to cases and guidance documents showcasing the Trump administration’s enforcement and policy priorities.
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DOJ charges 324 defendants in largest healthcare fraud initiative in its history
The collaborative Takedown effort targeted healthcare fraud that victimizes patients, taxpayers and government programs.