Fraud..

 

The Department of Justice's 2025 healthcare fraud takedown charged 324 defendants with $14.6 billion in losses — more than double the $6 billion record set one year earlier.

For Medicare beneficiaries, it is increasingly a line item: a copay for a service the patient never received, a denied PET scan because records show one was already performed, or a debt-collection call for equipment that was never authorized.

The DOJ charged 324 defendants in a 2025 healthcare fraud takedown involving $14.6 billion in losses — more than double the prior year’s record — including 96 doctors and medical professionals whose licenses enabled schemes ranging from stolen Medicare identities to AI-generated fake patient consent.  

Healthcare fraud-detection companies like UnitedHealth (UNH), Performant Healthcare (PFHC), and Verisk Analytics (VRSK) are positioned to benefit from the fraud-detection market’s projected 21.6% annual growth through 2032 as schemes accelerate using cryptocurrency, AI, and provider roll-ups.