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Updated Work Plan

Read the Updates
HHS-OIG has identified $7.7 billion in potential savings if critical access hospital swing bed services are paid for based on rates for nearby facilities with similar services.
HHS-OIG has identified $1 billion in potential savings by preventing duplicate Medicaid managed care enrollments.

Spring Semiannual Report to Congress

October 1, 2024–March 31, 2025

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Two Charged in $227 Million Medicare Fraud Scheme Following HHS-OIG Investigation

What's New

June 16, 2025
Maine Could Better Ensure That Intermediate Care Facilities for Individuals With Intellectual Disabilities Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control A-01-24-00004
Updated: Work Plan
June 13, 2025
Eleven of Thirty Selected Hospitals Did Not Comply With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments A-02-22-01003
Read More What's New

Enforcement Actions

June 12, 2025; U.S. Department of Justice
Fugitive Physician Sentenced to Prison in Medicare Fraud Scheme
June 12, 2025; U.S. Attorney's Office, Middle District of Florida
Four Charged With Health Care Fraud And Related Crimes
June 11, 2025; U.S. Attorney's Office, District of Massachusetts
New York Man Pleads Guilty to $70 Million Kickback Scheme
Read More Enforcement Actions