In what the U.S. Department of Justice (DOJ) calls the largest healthcare fraud crackdown in its history, more than 320 people across the country are now facing charges. The DOJ and other federal agencies are using new tools to track suspicious billing and identify fraudulent claims. If you work in healthcare, even in a...
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Category: Health Care Fraud Blog
At Griffin Durham Tanner & Clarkson, we are passionate about providing updates and keeping our community informed on news and law regulations related to healthcare fraud in Savannah and Atlanta.
The $14.6 billion health care fraud crackdown: what it means for providers
In 2025, the Department of Justice (DOJ) announced the largest health care fraud takedown in U.S. history. This sweeping operation uncovered $14.6 billion in intended losses due to schemes ranging from opioid trafficking to fraudulent medical equipment billing. Over 320 defendants were charged, including doctors, pharmacists, and even international crime organizations. While the...
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When Innovation Becomes Exploitation: Inside the $1B Healthcare Fraud Case
Technology has transformed the way healthcare operates, for the better in many cases. But when that innovation is used to exploit vulnerable patients, it can lead to serious consequences.
That’s what happened in one of the largest healthcare fraud schemes in U.S. history. The CEO of Power Mobility Doctor...
The U.S. is suing major health insurers over kickbacks in landmark False Claims Act case
The U.S. Department of Justice filed a lawsuit in May against three of the country’s largest private health insurers for violating the False Claims Act, specifically in the form of “kickbacks.” Hundreds of insurance brokers at eHealth, GoHealth, and SelectQuote are accused of engaging in a far-reaching kickback scheme with CVS Health, Aetna, Elevance...
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Understanding the $130 Million Omnicare Verdict: Lessons in Compliance and Risk Management
In April 2025, a New York jury awarded $130 million to United States in a False Claims Act (FCA) case. This case shines a spotlight on both FCA enforcement, as well as broader compliance and risk management issues—especially regarding healthcare fraud risks—that companies must navigate carefully with the help of a
Coming Soon? The Next Department of Justice Healthcare Fraud Takedown Could be Right Around the Corner
Every year, the Department of Justice’s (DOJ) Healthcare Fraud Strike Force and various U.S. Attorney’s Offices around the country conduct a nationwide enforcement action. Together with law enforcement agencies like the Federal Bureau of Investigation (“FBI”), Health and Human Services...
Tapestry Hospice settles $1.4 million kickback Case
Tapestry Hospice of Northwest Georgia, LLC, along with its owners and managers, recently agreed to pay $1.4 million to settle allegations of violating the False Claims Act through illegal kickback arrangements. This high-profile case highlights the severe consequences of violating federal laws and the importance of compliance in the healthcare industry.
This case not only...
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Are you committing Medicaid Fraud?
Healthcare providers want to give their Medicaid patients the best care possible. Providing that care requires listening, observing, diagnosing, recommending, and prescribing. Each step comes with a list of other responsibilities, such as ordering tests, making referrals, reporting every detail of the patient’s care, and filing all information with Medicaid for reimbursement.
Most providers take...
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How do fraud and abuse impact the costs of health care?
Healthcare fraud and abuse result in billions of dollars of losses each year for the federal government and private insurance companies. The ultimate cost of those losses is far-reaching, which is why the government is very committed to detecting and prosecuting healthcare fraud.
Healthcare fraud is a crime under federal law, and those who violate...
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How healthcare scams have become a $100B issue in the U.S.
Healthcare fraud schemes have cost the U.S. government, taxpayers, and insurance companies nearly $100 billion annually. If you think the government isn’t taking any alleged fraud seriously, – or anything that even resembles fraud – think again.
According to the National Health Care Anti-Fraud Association, Medicare and Medicaid fraud...
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