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July 13, 2026

HHS Reports Decline in Healthcare Fraud Enforcement Despite High Recovery Figures

  • The HHS Office of Inspector General reported $5.56 billion in expected recoveries but noted a decrease in enforcement activities.
  • Criminal and civil actions fell to 604, down from 833 in the previous period, while criminal referrals dropped to 1,168.
  • Exclusions from federal healthcare programs also declined, continuing a two-year downward trend.