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PulseReporter > Blog > Money > Inside Operation Gold Rush: How a transnational felony 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 felony community exploited the U.S. well being care system out of $14.6 billion

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Last updated: July 1, 2025 4:02 am
Pulse Reporter 9 hours ago
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Inside Operation Gold Rush: How a transnational felony community exploited the U.S. well being care system out of .6 billion
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State and federal prosecutors have charged greater than 320 individuals 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.

Legislation enforcement seized greater than $245 million in money, luxurious automobiles, cryptocurrency, and different property as prosecutors warned of a rising push by transnational felony networks to take advantage of the U.S. well being care system. As a part of the sweeping crackdown, officers recognized perpetrators primarily based 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 felony division, informed reporters Monday. “Each fraudulent declare, each pretend billing, each kickback scheme represents cash taken straight from the pockets of American taxpayers who fund these important packages by means of their onerous 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 contains almost 190 federal circumstances and greater than 90 state circumstances which have been charged or unsealed since June 9. Practically 100 licensed medical professionals had been charged, together with 25 docs, and the federal government reported $2.9 billion in precise losses.

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

Nineteen defendants have been charged as a part of that investigation — which authorities dubbed Operation Gold Rush — together with 4 individuals arrested in Estonia and 7 individuals arrested at U.S. airports and on the border with Mexico, prosecutors stated. The scheme concerned the stolen identities and private data of extra a million People, based on 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.”

Introducing the 2025 Fortune 500, the definitive rating of the largest corporations in America. Discover this yr’s checklist.

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