Criminal charges · Allegations, cases pending · U.S. Department of Justice
- What happened
- The largest health care fraud takedown in DOJ history, coordinated across 50 federal districts and 12 state attorneys general. Charges cover schemes against Medicare, Medicaid and other health programs, including Operation Gold Rush — an alleged transnational operation that filed $10.6 billion in fraudulent Medicare claims for durable medical equipment and catheters using the stolen identities of more than one million Americans. Ninety-six of the defendants are doctors, nurse practitioners, pharmacists or other licensed medical professionals.
- Amount — as stated by the source
- More than $14.6 billion in intended loss alleged. More than $245 million in cash, luxury vehicles, cryptocurrency and other assets seized. Separately, the Centers for Medicare and Medicaid Services reported preventing more than $4 billion in false and fraudulent claims from being paid, and suspended or revoked billing privileges for 205 providers.
- Agency / program
- Medicare, Medicaid and other federal health programs — Department of Health and Human Services / CMS
- Case status
- Charges filed June 30, 2025. These are allegations: the defendants are presumed innocent until proven guilty, and the cases are pending. Civil charges and settlements were announced alongside (20 defendants facing civil charges over $14.2 million; 106 defendants in civil settlements totalling $34.3 million).
- How it affects Americans
- Medicare is paid for by payroll taxes on every American paycheck and by premiums from seniors. Fraud at this scale is not a bookkeeping error — it drains the trust funds workers are paying into now for care they will need later.
- Funding source
- Medicare and Medicaid funds — payroll-tax-supported trust funds and general revenues.