US EditionInside Operation Gold Rush, largest health care fraud bust in U.S. history
- Federal and state prosecutors charged more than 320 people in Operation Gold Rush, the largest health care fraud takedown in U.S. history announced on Monday.
- The coordinated effort arose from an investigation revealing over $14.6 billion in fraudulent Medicare and Medicaid claims involving stolen identities and sham companies.
- Suspects operated across the U.S. and abroad, including Russia and Eastern Europe, using virtual servers, fake owners, and laundering proceeds through shell companies and cryptocurrency.
- Authorities confiscated over $245 million worth of cash, luxury automobiles, and cryptocurrency, while U.S. Attorney Nocella described the fraudulent schemes as extraordinarily large-scale, posing risks to both patient safety and public funds.
- The crackdown highlights growing threats from sophisticated transnational criminal groups exploiting health care programs, suggesting need for ongoing vigilance and enforcement.
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DOJ charges 15 in record $10.6 billion health care fraud case
Fifteen people, including two pharmacists, have been charged in what federal officials say is the largest health care fraud and money laundering scheme ever prosecuted in the U.S., with over $10.6 billion in fraudulent claims targeting Medicare, Medicaid, and private insurers. Eleven of the defendants are accused of operating a transnational criminal enterprise that stole the personal data of more than one million Americans to file fake Medicare…
Inside Operation Gold Rush: How a transnational criminal network exploited the U.S. health care system out of $14.6 billion
State and federal prosecutors have charged more than 320 people and uncovered nearly $15 billion in false claims in what they described Monday as the largest coordinated takedown of health care fraud schemes in Justice Department history. Law enforcement seized more than $245 million in cash, luxury vehicles, cryptocurrency, and other assets as prosecutors warned of a growing push by transnational criminal networks to exploit the U.S. health car…
The U.S. Attorney for the Eastern District of New York announced on Monday (June 30) that 15 defendants were indicted for a $10.6 billion health insurance fraud case, setting a record for the largest health insurance fraud in history. The case is part of the 2025 National Health Insurance Fraud Crackdown, and one of the defendants, Chinese pharmacy owner Hong Yuen Mak (also known as Joe Mak), has pleaded guilty.
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