In July 2025, DOJ and HHS formed a joint Working Group to intensify False Claims Act enforcement, focusing on data-driven investigations and payment suspensions in healthcare fraud cases.

The DOJ and HHS reestablish the False Claims Act Working Group to enhance enforcement against healthcare fraud and abuse in federal programs, emphasizing compliance and whistleblower roles.

The DOJ and federal agencies announced the largest healthcare fraud crackdown in U.S. history, charging 324 defendants for $14.6 billion in false Medicare and Medicaid claims, signaling increased enforcement on healthcare compliance.

Michigan woman charged with Medicaid fraud through false mileage reimbursement claims. Case highlights state efforts to combat healthcare fraud and protect Medicaid integrity.

The DOJ arrested two West Covina women for a $4.8 million Medicare fraud scheme involving false hospice care claims. This case underscores challenges in hospice billing and Medicare oversight.

U.S. government files False Claims Act complaint against medical billing company for submitting false Medicare claims related to unnecessary genetic tests.

Insights into Medicare billing accuracy and fraud risks in physical therapy claims, emphasizing the necessity of compliance to prevent false billing and regulatory issues.

Fernando Valenzuela Ayub pleaded guilty to a $51 million Medicare fraud scheme involving durable medical equipment. The case highlights key issues in Medicare billing and compliance.

FDA refocuses COVID vaccine approvals on high-risk groups with new evidence requirements. Medicare fraud case results in sentencing for $3.2M scheme. Lower-income countries increase self-funded vaccine investments. Bipartisan prior authorization reform bill returns in Congress.

Examining fraud in U.S. Medicare and Medicaid: shifting focus from patient eligibility to provider and insurer fraudulent practices amid congressional budget cuts and regulatory challenges.