CMS reports $1.6 billion in potentially improper Medicare lab payments stopped
CMS says it stopped more than $1.6 billion in potentially improper Medicare lab payments through revocations, suspensions, referrals and recoveries.
Health Care Fraud
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CMS links 50 Medicaid providers to $203.3 million in enforcement
CMS says 50 high-risk Medicaid providers were tied to $203.3 million in payments subject to federal or state action, not necessarily proven fraud or recovered cash.
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DOJ Charges 455 in $6.5 Billion Health-Care Fraud Takedown
The Justice Department says 455 defendants, including 90 doctors and other licensed professionals, were charged in a national operation involving alleged false claims and opioid-abuse schemes.
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HHS pauses more than $1 billion in Medicaid payments to California and Minnesota during fraud reviews
Federal health officials paused more than $1 billion in Medicaid payments to California and Minnesota while reviewing high-risk claims, including California in-home-care claims.
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Justice Department charges 455 defendants in largest-ever national health care fraud takedown
The Justice Department says the coordinated action involved more than $6.5 billion in alleged false claims and opioid-abuse schemes across 56 federal districts.
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Fugitive arrested in alleged $547 million Medicare genetic-testing fraud scheme
Khalid Ahmed Satary was apprehended July 20 and transferred to U.S. custody in a case alleging medically unnecessary genetic tests and more than $547 million in Medicare claims or losses.
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DOJ files 2 Mississippi civil complaints tied to 2026 takedown—CSA claims
On July 17, 2026, DOJ’s Southern District of Mississippi filed civil complaints alleging CSA recordkeeping failures at a Brookhaven pharmacy and a Missouri clinic.
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EyePoint to Pay $4.657M to Resolve DOJ Kickback Claims on DEXYCU
DOJ says EyePoint will pay $4,657,463.18 to resolve False Claims Act allegations tied to DEXYCU kickbacks (2019–Mar. 1, 2023) and a five-year HHS-OIG CIA.
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DOJ’s 2026 National Health Care Fraud Takedown: 455 Charged, $6.5B Alleged Fraud
United States Federal Policy and Agency Actions – On June 23, 2026, DOJ announced charges against 455 defendants, alleging $6.5B+ in false claims for fraud and opioids.
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Dallas division at center of North Texas health-care fraud sweep
Federal prosecutors charged 13 North Texas defendants in seven cases, with most in the Dallas division, as part of a June 23 fraud sweep.
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DOJ health-care fraud sweep: 455 charged, $6.5B in alleged false claims
DOJ says its 2026 National Health Care Fraud Takedown charged 455 defendants tied to more than $6.5B in alleged false claims. The rollout is continuing.