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Fraud

Nationwide Health Care Fraud Takedown Results in 324 Defendants Charged with Over $14.6 Billion in Alleged Fraud

Strategic Insights

— 1 min read

The United States Department of Justice has announced the largest health care fraud case in history, charging 324 defendants with over $14.6 billion in alleged fraud. As part of a nationwide law enforcement action, the defendants allegedly defrauded programs entrusted for the care of the elderly and disabled to line their own pockets. The New England Strike Force, in collaboration with the Federal Bureau of Investigation, the United States Department of Health and Human Services, Office of Inspector General, and other agencies, investigated and prosecuted complex health care fraud and money laundering schemes across the region.

Key Takeaways:

  • The Department of Justice charged 324 defendants with over $14.6 billion in alleged health care fraud, making it the largest case in history.
  • The defendants allegedly defrauded programs for the care of the elderly and disabled, targeting Medicaid, Medicare, and other federal benefit programs.
  • The New England Strike Force, led by DOJ Fraud Section Assistant Chief Kevin Lowell, investigated and prosecuted the cases using advanced data analytics, forensic accounting, and interagency collaboration.
  • Over $245 million in cash, luxury vehicles, and other assets were seized in connection with the takedown.
  • The cases involve various schemes, including conspiracies to submit false and fraudulent claims, launder illicit proceeds, and exploit vulnerable patients.
  • Several high-profile defendants were charged, including a previously convicted felon, a straw owner of a health care company, and an individual who used a stolen identity to obtain Medicaid and SNAP benefits.

Statistics:

  • $14.6 billion: Alleged amount of health care fraud in the nationwide case.
  • 324: Number of defendants charged with health care fraud.
  • $245 million: Amount of cash, luxury vehicles, and other assets seized in connection with the takedown.
  • 15 million: Number of illegal pills of diverted controlled substances involved in the case.

Sources:

  • Office of Public Affairs | National Health Care Fraud Takedown Results in 324 Defendants Charged in Connection with Over $14.6 Billion in Alleged Fraud | United States Department of Justice.
  • Criminal Division | 2025 National Health Care Fraud Takedown.
  • DOJ Fraud Section.
  • Federal Bureau of Investigation.
  • United States Department of Health and Human Services, Office of Inspector General.
  • Food and Drug Administration, Office of Criminal Investigations.
  • Internal Revenue Service Criminal Investigation.
  • United States Department of Defense Office of Inspector General, Defense Criminal Investigative Service.

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