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Medicaid Fraud Control Units (MFCUs) reported record recoveries of about $1.4 billion in fiscal year 2024, driven largely by California’s unit, which accounted for roughly $513 million of that total (...
Medicaid Fraud Control Units (MFCUs) reported a combined $1.4 billion in recoveries for fiscal year 2024, driven largely by a record $961 million in criminal recoveries and unusually large criminal re...
The 2025 National Health Care Fraud Takedown charged 324 defendants with intended losses exceeding $14.6 billion and saw more than $245 million in assets seized, but the public releases do not aggrega...
Federal law enforcement and health agencies provide criminal, civil and administrative avenues to pursue large-scale healthcare fraud and protect beneficiaries—most notably the 2025 National Health Ca...
Medicaid Fraud Control Units (MFCUs) operate in every U.S. state and territory to investigate and prosecute Medicaid provider fraud and protect vulnerable patients from abuse, neglect, and financial e...
Federal enforcement actions in 2024–2025 coincided with strong state-level Medicaid recoveries: Medicaid Fraud Control Units (MFCUs) reported $1.4 billion recovered in FY2024 (including $961 million i...
State-level Medicaid Fraud Control Units (MFCUs reported $1.4 billion in recoveries in FY2024, yielding about $3.46 recovered per $1 spent) and federal Medicaid Integrity efforts (CMS’s Medicaid Integ...
Medicaid Fraud Control Units (MFCUs) reported $1.4 billion in recoveries for FY 2024, driven in large part by California’s MFCU which recovered roughly $513 million, producing about $3.46 returned for...
State investigators separate ordinary billing errors from organized Medicaid fraud by using data analytics, provider audits, criminal probes, and Medicaid Fraud Control Units (MFCUs); federal-led oper...
SNAP’s measurable improper-payment rate has been large in dollar terms — USDA/FNS reported $102 million in detected SNAP fraud and approvals of 226,000 fraudulent claims in Q1 FY2025 (reporting and co...
Recent reporting shows multiple, contemporaneous Medicaid-fraud actions nationwide: a New York indictment alleging more than $3.5 million stolen via fraudulent transportation billing (Orange County ca...
Anonymous Medicaid fraud reports are viable and sometimes necessary tools for initiating investigations, but they generally produce less actionable evidence and lower investigative efficiency than nam...