iFraud Deep Dive
Welcome to iFraud Deep Dive, an official podcast series of the iFraud Foundation — where we tackle the toughest issues facing the property and casualty industry in the fight against fraud.
Each episode features in-depth conversations breaking down complex issues into easily consumable information that we can all understand. We explore the fraud landscape, expose emerging threats, and highlight actionable solutions. From staged accidents and collusive networks to litigation abuse and regulatory gaps, we go beyond the headlines to bring you the insights that matter.
Whether you’re a carrier, broker, employer, attorney, or regulator, if you’re committed to protecting the integrity of our industry then this podcast is for you.
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iFraud Deep Dive
S1 E12 National Healthcare Fraud Takedown
This Deep Dive looks at the Justice Department's 2025 National Health Care Fraud Takedown, a record-breaking enforcement action that resulted in criminal charges against 324 defendants, including medical professionals, for schemes involving over $14.6 billion in intended loss. The takedown also involved significant asset seizures totaling over $245 million and prevented an additional $4 billion in fraudulent payments. It highlights various fraud types, such as transnational criminal organizations exploiting patient identities and AI, fraudulent wound care, prescription opioid trafficking, and telemedicine and genetic testing fraud. This collaborative effort by multiple federal and state agencies, including the FBI and HHS-OIG, underscores a whole-of-government approach to combating healthcare fraud and emphasizes the use of advanced data analytics and a new Data Fusion Center to detect and prosecute these widespread schemes.