July 02, 2025

Article at Forbes

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$14.6 Billion Scam Busted: 324 Charged In DOJ’s Biggest Health Care Takedown

Department of Justice

Department of Justice

AFP via Getty Images

On Monday, the U.S. Department of Justice unveiled the results of its largest-ever coordinated health care fraud takedown, charging 324 defendants across the country in connection with more than $14.6 billion in alleged fraudulent claims. This announcement marks a watershed moment in federal law enforcement’s efforts to combat health care fraud and protect taxpayer dollars.

A Record-Setting Operation

The DOJ’s 2025 National Health Care Fraud Takedown, publicized on June 30, involved criminal charges against a broad array of defendants, including ninety-six doctors, nurse practitioners, pharmacists and other licensed medical professionals spanning fifty federal districts and twelve State Attorneys General’s Offices. The government seized over $245 million in cash, luxury vehicles, cryptocurrency and other assets, while the Centers for Medicare and Medicaid Services, or CMS, reported preventing more than $4 billion in fraudulent payments by suspending or revoking the billing privileges of 205 providers in the months leading up to the takedown.

Key Details:

  • Date of Announcement: June 30, 2025
  • Defendants Charged: 324, including 96 licensed medical professionals
  • Alleged Fraudulent Claims: Over $14.6 billion
  • Assets Seized: More than $245 million in cash, cryptocurrency, luxury vehicles, and other property
  • CMS Actions: Over $4 billion in fraudulent payments prevented; 205 providers suspended or revoked

Unprecedented Scope and Impact

This year’s takedown eclipses previous records, both in terms of the number of individuals charged and the scope of the alleged fraud. The operation targeted schemes involving durable medical equipment, telemedicine and transnational criminal organizations, including cases like “Operation Gold Rush,” which alone accounted for $10.6 billion in fraudulent claims and involved actors with ties to organized crime in Russia, Estonia and Kazakhstan.

Attorney General Pamela Bondi emphasized the administration’s zero-tolerance stance, "this record-setting Health Care Fraud Takedown delivers justice to criminal actors who prey upon our most vulnerable citizens and steal from hardworking American taxpayers. Make no mistake – this administration will not tolerate criminals who line their pockets with taxpayer dollars while endangering the health and safety of our communities.”

The announcement signals a new era of enforcement, with federal authorities leveraging advanced analytics and multi-agency cooperation to root out fraud. The DOJ, FBI, DEA, HHS-OIG and numerous state agencies collaborated in this action.