Goodsurance

Policy & oversight

The biggest Medicare fraud sweep yet

Federal prosecutors charged 455 people in schemes worth over $6.5 billion. The part that touches you: this kind of fraud quietly pushes everyone's Part B premium up.

By the Goodsurance editorial teamJune 28, 2026

On June 23, 2026, the Justice Department announced the largest health care fraud action in its history: 455 people charged, including 90 doctors and other licensed professionals, in schemes involving more than $6.5 billion in false claims to Medicare and Medicaid. Alongside the criminal charges, the Centers for Medicare and Medicaid Services suspended 1,079 providers and revoked the billing privileges of 1,403 more. The schemes read like a catalog of how Medicare money gets stolen. One group billed Medicare more than $4 billion for skin grafts used on wounds, marking up the product as much as 2,000 percent and, prosecutors allege, applying them to hospice patients who did not need them. Another involved $3.7 billion in claims for urinary catheters and other equipment that was never sent. A separate telemedicine scheme ran to $1.2 billion. In one case, a hospice owner allegedly bought the names of recently deceased people from a funeral home employee so he could bill Medicare for care that was never given. Here is why this matters to an ordinary Medicare member, beyond the headline numbers. Fraud is not a victimless accounting problem; it shows up in your premium. The Justice Department noted that the skin-graft billing alone grew so fast that, had CMS not stepped in and realigned the payment, the resulting Part B premium increase would have cost every Medicare beneficiary in the country about $11 more a month. That is the quiet tax of fraud: money stolen from the program is money the program eventually collects back from everyone. The practical, calm takeaway is the part you can act on. Most of these schemes start by getting hold of a real Medicare number. Medicare will not call you out of the blue to offer free braces, free genetic tests, or free equipment, and a stranger offering something free in exchange for your Medicare number is the warning sign. Guard the number the way you would guard a credit card, read the summary notices Medicare sends you for charges you do not recognize, and if something looks wrong you can report it to 1-800-MEDICARE or at Medicare.gov/fraud. The pointed framing about which corporate actors enabled all this routes to my65checklist; here the useful job is to connect the news to your own premium and your own Medicare card.

In plain words

On June 23, 2026, the government charged 455 people in the biggest Medicare and Medicaid fraud case ever. That includes 90 doctors and other medical workers. The fake bills added up to more than $6.5 billion. Medicare also stopped paying 1,079 providers and pulled the billing rights of 1,403 more. Why should you care? Fraud is not free. When crooks steal from Medicare, the cost can push everyone's premium up. The government said one scheme grew so big that, if it had not been stopped, it would have added about $11 a month to every person's Part B premium. Here is what you can do. Most of these scams start by getting your Medicare number. Medicare will not call you to give away free braces or free tests. If a stranger offers something free for your Medicare number, it is a scam. Keep your number safe. Check the notices Medicare sends you. If a charge looks wrong, call 1-800-MEDICARE or report it at Medicare.gov/fraud.

Source: U.S. Department of Justice
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