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Reading: Inside Operation Gold Rush: How a transnational legal community exploited the U.S. well being care system out of $14.6 billion
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Inside Operation Gold Rush: How a transnational legal community exploited the U.S. well being care system out of .6 billion
Money

Inside Operation Gold Rush: How a transnational legal community exploited the U.S. well being care system out of $14.6 billion

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Last updated: July 1, 2025 5:02 am
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Published: July 1, 2025
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State and federal prosecutors have charged greater than 320 folks and uncovered almost $15 billion in false claims in what they described Monday as the most important coordinated takedown of well being care fraud schemes in Justice Division historical past.

Regulation enforcement seized greater than $245 million in money, luxurious autos, cryptocurrency, and different belongings as prosecutors warned of a rising push by transnational legal networks to use the U.S. well being care system. As a part of the sweeping crackdown, officers recognized perpetrators based mostly in Russia, Jap Europe, Pakistan, and different international locations.

“These criminals didn’t simply steal another person’s cash. They stole from you,” Matthew Galeotti, who leads the Justice Division’s legal division, instructed reporters Monday. “Each fraudulent declare, each faux billing, each kickback scheme represents cash taken immediately from the pockets of American taxpayers who fund these important packages by means of their exhausting work and sacrifice.”

The alleged $14.6 billion in fraud is greater than twice the earlier report within the Justice Division’s annual well being care fraud crackdown. It consists of almost 190 federal instances and greater than 90 state instances which were charged or unsealed since June 9. Almost 100 licensed medical professionals have been charged, together with 25 medical doctors, and the federal government reported $2.9 billion in precise losses.

Among the many instances is a $10 billion urinary catheter scheme that authorities say highlights the more and more refined strategies utilized by transnational legal organizations. Authorities say the group behind the scheme used overseas straw homeowners to secretly purchase up dozens of medical provide corporations after which used stolen identities and confidential well being knowledge to file faux Medicare claims.

Nineteen defendants have been charged as a part of that investigation — which authorities dubbed Operation Gold Rush — together with 4 folks arrested in Estonia and 7 folks arrested at U.S. airports and on the border with Mexico, prosecutors stated. The scheme concerned the stolen identities and private info of extra a million Individuals, in response to the Justice Division.

“It’s not carried out by small time operators,” stated Dr. Mehmet Oz, who leads the Facilities for Medicare and Medicaid Providers. “These are organized syndicates who’re designing to harm America.”

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