The U.S. Treasury Department said its Financial Crimes Enforcement Network identified about $17.5 billion in suspicious financial activity potentially connected to health care fraud, highlighting the scale of schemes targeting Medicare, Medicaid and private insurers.
The findings come from an analysis of 5,702 Bank Secrecy Act reports filed by financial institutions between March 1, 2025, and Feb. 28, 2026. Treasury said the reports provide law-enforcement agencies with financial intelligence that can be used to identify and investigate suspected fraud networks. (FinCEN.gov)
Depository institutions accounted for about 89% of the reports and nearly 87% of the suspicious dollar amounts identified in the analysis.
The suspected activity involved payments from Medicare, Medicaid and private insurance companies, with some schemes drawing funds from several types of health coverage.
Home health care businesses were the most frequently identified providers, appearing in about 20% of health care fraud-related reports. Hospice companies, behavioral-health and addiction-treatment providers, medical-equipment suppliers and adult or child day-care businesses were also frequently cited.
Treasury said some suspected fraud proceeds were used for personal expenses and luxury purchases, while other funds were transferred overseas. A smaller portion of the reports pointed to possible links with larger criminal networks or foreign entities.
Most of the individuals and businesses identified in the filings were located in the U.S. Financial institutions reported subject addresses in every state, as well as Puerto Rico, Guam and the U.S. Virgin Islands. About 1.5% of roughly 13,000 addresses were outside the country.
Treasury Secretary Scott Bessent said information supplied by financial institutions gives investigators greater visibility into individuals and organizations suspected of exploiting taxpayer-funded health programs.
The analysis is part of a broader federal effort to combat fraud involving government benefit programs. Treasury is also working with other agencies and encouraging whistleblowers to report information involving suspected fraud, money laundering, sanctions violations and tax offenses.
FinCEN previously issued an advisory in March focused on health care fraud involving Medicare, Medicaid and other federal and state benefit programs. The agency said more recent filings have continued to show patterns consistent with those identified in its latest analysis. (U.S. Department of the Treasury)
