Health Care Fraud Dashboard

DOJ • HHS • HHS-OIG • CMS • GAO • Congress • Treasury • White House • MedPAC • MACPAC • Media

An estimated 3% to 10% of total U.S. health spending is lost to health care fraud every year. This dashboard tracks the federal response starting in 2025, including criminal and civil enforcement actions and federal oversight and accountability measures. It also highlights investigative media coverage exposing fraud across the system.

Paragon Research: ACA

$35B

Paid to insurers for ACA enrollees who never used their health plan in 2024

Read the research →

Paragon Research: Medicaid

$1.1T

In improper federal Medicaid payments over the past decade—double what CMS officially reports

Read the research →

Paragon Research: ACA

6.4M

Ineligible individuals enrolled in fully subsidized ACA plans in 2025

Read the research →

Largest Enforcement Action Since January 2025

$14.6B

DOJ charged 324 defendants in the largest health care fraud takedown in U.S. history

View in dashboard →

CMS Administrator Dr. Oz

$100B

Dr. Oz's estimate of total annual Medicaid fraud

Read the interview →

Federal criminal and civil actions against health care fraud

Agencies: Primary agency is DOJ (the prosecutor). HHS-OIG is tagged when named as investigator or credited for assistance. Other federal investigators (FBI, DEA, FDA OCI, IRS-CI, HSI, USPIS, DCIS) and state Medicaid Fraud Control Units are not tagged individually. Amounts: Aim to reflect size of the fraud — scheme size (total false claims submitted) is preferred when stated, else stated loss, else the resolution amount. FCA settlements/judgments may include statutory multipliers, so those can exceed the underlying loss. Ability-to-pay-adjusted criminal penalties are excluded. Read more

This dashboard aggregates publicly available federal actions and investigative journalism on health care fraud into one filterable view. It does not generate original reporting. Every item links to its original source.

Federal Enforcement Actions tab

This tab holds criminal and civil cases prosecuted by DOJ, with most cases investigated by HHS-OIG. Every item links to an official .gov press release. Daily auto-scraped sources:

HHS-OIG — criminal and civil enforcement actions. The scraper walks each OIG action page, follows the DOJ press-release link OIG publishes alongside it, and routes the item here, tagged with both agencies.
DOJ Office of Public Affairs — press releases: major takedowns, FCA settlements, and headline prosecutions announced at the Department level.
DOJ U.S. Attorney's Offices — press releases from any of the federal districts, via a consolidated scraper.

Federal Oversight & Accountability tab

This tab holds every non-enforcement action type — audits, evaluations, investigations, rules, hearings, reports, administrative actions, and similar. Daily auto-scraped sources:

DOJ — the same DOJ scrapers (Office of Public Affairs and U.S. Attorney's Offices) that feed the Enforcement tab also surface DOJ's non-prosecutorial items, which land here.
HHS-OIG — reports (audits and evaluations) plus non-enforcement items from the newsroom (audit announcements, advisories, oversight initiatives).
CMS — the newsroom and the dedicated fraud page.
HHS — the HHS press room scraper is currently bot-blocked, but fraud-relevant HHS items almost always cross-post to CMS and get captured via the CMS scraper.
GAO — reports RSS feed.
Congress — committee press releases from House Oversight, House Energy & Commerce, House Ways & Means, House Judiciary, Senate Finance, Senate HELP, and Senate Judiciary, plus fraud-related committee hearings from Congress.gov.
White House — releases (press releases and fact sheets) plus presidential actions (executive orders and proclamations).
Treasury / FinCEN — press releases: financial-crime advisories and enforcement actions.
MACPAC and MedPAC — MACPAC publications and MedPAC documents on Medicaid and Medicare program integrity.

Some items on this tab are added manually when a notable federal accountability action doesn't have an official .gov press release.

Media Investigations tab

Items on this tab are hand-selected.

How items are classified

Tags, state, amount, and action type are extracted from the source text using regex rules plus AI extraction with anchored citations (the model must quote the source verbatim for any field it populates, and the code validates that the quoted phrase actually appears in the article). The author also makes manual edits to improve accuracy. Titles generally match the official press-release headline (or, for media, the article headline) verbatim, with occasional manual edits for readability.

Accuracy and corrections

Classifications, tags, and dollar amounts on this dashboard are generated from a mix of automated extraction and manual curation, and errors are possible. The linked source is always the authoritative record. Please verify any specific figure, charge, or agency attribution against the underlying press release or article before citing it. Found a mistake? Contact this email.