Overview

According to the 2024 National Money Laundering Risk Assessment, health care fraud schemes often involve hundreds of millions, if not billions, of dollars generated through fraudulent activity and run the gamut from corporate fraud, bribery, and kickbacks, to activity resulting in the illicit distribution and diversion of narcotics.

Consequently, the diverse nature of health care fraud has many touch points that go undetected with financial institutions.  Invariably, health care fraud requires money laundering, which is one of the many touch points with financial institutions. Health care fraud is seldom addressed in an anti-money laundering context.

The FBI is the primary investigative agency responsible for investigating health care fraud. This presentation will provide an overview of the FBI’s health care fraud program, discuss current trends, and promote awareness of this egregious crime problem. The discussion will highlight financial aspects of health care fraud and ways to identify fraud.  Additionally, the presenter will provide specific case examples and evidence from previous health care fraud cases.