Record False Claims Act Healthcare Fraud Recoveries Exceed $6.8B in FY 2025

The U.S. Department of Justice has announced that False Claims Act (FCA) settlements and judgments exceeded $6.8 billion in fiscal year 2025, the highest annual total in the statute’s history. More than $5.7 billion of this record level of recovery stemmed from healthcare fraud-related matters, demonstrating the government’s continued emphasis on policing improper billing, unlawful claims, and fraudulent conduct within Medicare, Medicaid, and other government healthcare programs. The FCA’s qui tam provisions have been a critical enforcement tool, with whistleblowers filing a record number of cases that contributed significantly to the overall recoveries.

The 2025 enforcement results also highlighted a surge in qui tam filings, with 1,297 new lawsuits (the most ever recorded) and hundreds of government-initiated investigations. These numbers underscore the ongoing collaboration between federal prosecutors, the Department of Health and Human Services Office of Inspector General (HHS-OIG), and private relators to root out fraudulent conduct that harms patients and taxpayers. Healthcare providers and stakeholders should take note of these trends as the DOJ continues to prioritize compliance and accountability through aggressive enforcement of the False Claims Act.