Tuesday, 02 January 2024 12:17 GMT

US charges hundreds in massive health care fraud schemes


(MENAFN) The U.S. Department of Justice has filed criminal charges against 324 individuals, including 96 licensed health professionals, for their alleged roles in a series of large-scale health care fraud schemes with intended losses exceeding $14.6 billion.

According to official statements, the sweeping enforcement action—part of the 2025 National Health Care Fraud Takedown—involved coordinated efforts from federal and state agencies across 50 federal districts and 12 state attorneys general offices.

Among those charged were doctors, nurse practitioners, pharmacists, and other medical professionals accused of participating in a range of fraudulent activities. Authorities also reported the seizure of over $245 million worth of assets, including cash, luxury cars, cryptocurrency, and other property during the operation.

The Centers for Medicare and Medicaid Services, as part of a broader strategy to combat fraud, reportedly blocked over $4 billion in payments tied to false or fraudulent claims. Additionally, billing privileges were suspended or revoked for 205 providers in the months leading up to the crackdown.

Civil enforcement actions were also a part of the operation. Officials filed civil charges against 20 individuals linked to roughly $14.2 million in fraudulent claims. At the same time, civil settlements totaling $34.3 million were reached with 106 other defendants.

"This record-setting Health Care Fraud Takedown delivers justice to criminal actors who prey upon our most vulnerable citizens," said Attorney General Pam Bondi.

FBI Director Kash Patel emphasized the scale of the operation, stating, “with more than $13 billion in fraud uncovered, this is the largest takedown for this initiative to date.”

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