DOJ Announces Historic $14.6 Billion Healthcare Fraud Takedown, Largest Ever

The U.S. Justice Department has unveiled its largest-ever national healthcare fraud takedown, announcing nearly 200 federal cases that collectively involve an unprecedented $14.6 billion in intended losses. This sweeping enforcement action represents a monumental effort to combat widespread fraud and safeguard the integrity of the American healthcare system.

A centerpiece of the operation is the alleged $650 million fraud scheme orchestrated by Pakistani national Farrukh Ali, who is accused of targeting an Arizona Medicaid program for addiction treatment and Native American communities. Prosecutors allege Ali conspired with at least 41 substance abuse clinics to submit fraudulent bills for services that were never rendered or were medically unnecessary, often recruiting patients from vulnerable populations, including the homeless and Native American reservations.

The department’s comprehensive crackdown addresses a wide array of fraudulent activities, ranging from an alleged $10.6 billion urinary catheter scheme by a transnational criminal organization to a purported $1 billion wound care scheme targeting hospice Medicare patients. While the intended losses are estimated at $14.6 billion, the actual losses identified in the charged cases total $2.9 billion.

Matthew Galeotti, head of the Justice Department’s Criminal Division, underscored the severity of these crimes, stating, “These criminals didn’t just steal someone else’s money. They stole from you. Every fraudulent claim, every fake billing, every kickback scheme represents money taken directly from the pockets of American taxpayers.” This landmark takedown reinforces the Justice Department’s unwavering commitment to protecting taxpayer funds and upholding the foundational principles of the nation’s healthcare infrastructure.

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