Florida health insurance agent accused of $323k fraud involving hundreds of fake policies
A licensed health insurance agent in Florida has been arrested, accused of orchestrating a staggering $323,000 fraud scheme, allegedly creating over...
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Healthcare fraud has proliferated nationwide, House Republicans warn
House Republicans have uncovered a nationwide “epidemic” of healthcare fraud extending far beyond the fraud-fraught states of Minnesota and California, according...
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US House panel issues subpoenas to eight health insurers on alleged Obamacare fraud
House Judiciary Committee Republicans have subpoenaed eight Affordable Care Act health insurers for documents as part of an investigation of potential...
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Pennsylvania Medical False Billing Conviction and Sentencing
On October 27, 2025, Michael W. Armstrong of Cherry Hill, NJ pleaded Guilty to Insurance Fraud and Conspiracy and was sentenced...
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GEICO sues pharmacy, healthcare providers over alleged $6 million PIP fraud
On February 5, 2026, GEICO filed two separate federal lawsuits in New York and Florida, alleging fraud schemes that together extracted...
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What Optum found in probe of 14 Medicaid programs possibly vulnerable to fraud
The State of Minnesota on Friday released the first findings from an investigation by third-party company Optum into potential fraud vulnerabilities...
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DOJ Criminal Fraud Section 2025 Year in Review – Health Care Fraud Is Front and Center
On January 22, 2026, the Department of Justice (DOJ or the Department) Criminal Fraud Section issued its 2025 Year in Review...
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US health secretary says administration cracking down on health care fraud
US Health Secretary Robert F. Kennedy Jr. said Thursday that the Trump administration is intensifying efforts to combat health care fraud...
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DOJ Files Lawsuit Against Louisiana Over Alleged Medicare Fraud
The Department of Justice (DOJ) has filed a civil complaint under the False Claims Act against Priority Hospital Group (PHG), a...
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Staffing agency facing fraud, larceny charges after allegedly placing fake CNAs
A temporary staffing agency providing nursing home aides and nurses is facing larceny charges after the state alleged it sent uncertified...
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