Treasury Uncovers $17.5 Billion in Suspected Health Care Fraud | U.S. Department of the Treasury
A lock ( )
Press Releases
Treasury Uncovers $17.5 Billion in Suspected Health Care Fraud
September 9, 2026
WASHINGTON —The U.S. Department of the Treasury today announced that its Financial Crimes Enforcement Network (FinCEN) has identified approximately $17.5 billion in suspicious financial activity potentially linked to health care fraud , underscoring the Trump Administration’s commitment to eliminating fraud, protecting taxpayers, and safeguarding the integrity of federal health care programs.
“By identifying and reporting this suspicious activity, financial institutions have given law enforcement critical insight into the illicit actors who deliberately exploit U.S. health care benefits programs,” said Treasury Secretary Scott Bessent. “Treasury will continue working alongside our law enforcement partners to disrupt fraud wherever it occurs, protect Americans, and safeguard the integrity of taxpayer-funded programs.”
A new FinCEN Financial Trend Analysis finds that, over a one-year period, financial institutions filed more than 5,700 Bank Secrecy Act (BSA) reports flagging activity potentially connected to health care fraud. The findings provide law enforcement with critical financial intelligence to identify, investigate, and disrupt illicit schemes that exploit taxpayer-funded health care benefits.
Health care fraud drains resources from the Americans who rely on these programs, drives up health care costs, and can put patients at serious risk. Treasury is using every available tool to support President Trump’s agenda to eliminate waste, fraud, and abuse across the federal government.
Working with the White House Task Force to Eliminate Fraud led by Vice President Vance, Treasury is encouraging whistleblowers to report credible information related to fraud, money laundering, sanctions violations, and tax-law violations. Tips from whistleblowers, combined with financial institutions’ BSA reporting, can help Treasury and its law enforcement partners uncover criminal networks, recover taxpayer funds, and hold bad actors accountable.
Treasury will continue to leverage financial intelligence, strengthen coordination across government, and pursue those who seek to profit by defrauding American taxpayers and endangering patients.
FinCEN analyzed 5,702 BSA reports filed by financial institutions between March 1, 2025 and February 28, 2026, and found the following prominent trends:
DEPOSITORY INSTITUTIONS ACCOUNTED FOR MAJORITY OF HEALTH CARE FRAUD-RELATED BSA REPORTS
Depository institutions filed approximately 89 percent of reports in the dataset and accounted for nearly 87 percent of the reported suspicious activity amounts.
POTENTIAL HEALTH CARE FRAUD SCHEMES SPANNED MEDICARE, MEDICAID, AND PRIVATE INSURANCE
Potentially fraudulent funds were often received from a combination of federal and state programs, as well as private insurance companies.
Medicare payments frequently originated from Medicare Administrative Contractors whereas Medicaid payments originated from state-level administrators.
AN OVERWHELMING MAJORITY OF SUBJECTS WERE LOCATED IN THE UNITED STATES
Filers identified subjects located in every U.S. state, as well as Puerto Rico, Guam, and the U.S. Virgin Islands.
Of the approximately 13,000 subject addresses in the dataset, approximately 1.5 percent had a foreign address.
HOME HEALTH CARE BUSINESSES ACCOUNTED FOR THE LARGEST SHARE OF SUSPECTED FRAUDULENT PROVIDERS
Home health care businesses were identified as the suspected fraudulent provider in 20 percent of all health care fraud-related BSA reports.
Other frequently identified providers included hospice care companies, mental and/or behavioral health and addiction treatment providers and companies, medical equipment providers, and adult or child daycares.
SUSPECTED FRAUD PROCEEDS FUNDED PERSONAL SPENDING, LUXURY PURCHASES, AND OVERSEAS TRANSFERS
Suspected perpetrators employed a range of money laundering techniques before spending the suspected fraudulently obtained health care payments.
In many cases, proceeds of suspected health care fraud that did not appear to go through a complex funds transfer process were used on personal expenses and luxury goods, with some funds being sent internationally.
SOME SUSPECTED HEALTH CARE FRAUD PERPETRATORS WERE POTENTIALLY INVOLVED IN CRIMINAL NETWORKS
A small percentage of filers reported suspected health care fraud activity potentially involving large fraud rings or criminal networks, as well as some potential connections to foreign entities.
Today’s FTA is FinCEN’s second health care fraud-related product issued this year. In March, FinCEN issued an Advisory on Health Care Fraud Schemes Targeting Medicare, Medicaid, and Other Federal and State Health Care Benefit Programs . Although BSA reports filed after the issuance of the Advisory were not included in the scope of this FTA, the typologies and trends in the post-Advisory BSA filings are consistent with the trends reported in the FTA.
FinCEN’s analysis of threat pattern and trend information derived from BSA data on additional topics can be found on its Financial Trend Analyses page.
***
Resources
Financial Trend Analysis: Health Care Fraud: Trends in Bank Secrecy Act Data
###
