Real-time risk signals across U.S. organizations

Danielle Lucas, a caregiver in Baltimore City, was convicted and sentenced for stealing from a resident of an assisted living facility. This action highlights the exploitation of vulnerable adults in care settings.

James Andrew Heath and Jared Parker Heath have been charged with defrauding Colorado’s Medicaid optical program of over $12 million through QuickSpex LLC. They face multiple counts including Medicaid fraud and money laundering in Jefferson County, CO.

Mohamed Elias Omer has been charged with paying illegal kickbacks to induce Medicaid beneficiaries to attend Nadina Adult Daycare Center LLC in Denver, CO. The case was announced by the Colorado Attorney General’s Office and the U.S. Attorney’s Office for the District of Colorado.

The owner of two telemedicine companies was sentenced to 120 months in prison and ordered to pay $66 million in restitution for fraudulently billing Medicare for unnecessary medical equipment and drugs. This enforcement action is part of the 2026 National Health Care Fraud Takedown.

A Lawrence County personal care administrator was sentenced to up to three years in prison for failing to renew a resident’s medications, resulting in a fatal seizure in 2021.

The United States settled with SSM Health Care for $1 million over allegations of improperly waiving patient copays at its pharmacy, leading to overpayments by Medicare and FEHBP in St. Louis, MO.

Ciera Washington, a 35-year-old woman from the Bronx, New York, pled guilty to conspiracy to commit health care fraud and aggravated identity theft in Albany, New York.

Zoe Marie Francis, age 47, of New Orleans, was sentenced to three years of probation for theft concerning programs receiving federal funds. She pleaded guilty to the charges on June 24, 2026.

The owner of two telemedicine companies was sentenced to 120 months in prison and ordered to pay $66 million in restitution for fraudulently billing Medicare for unnecessary medical equipment and drugs.

Attorney General Kwame Raoul charged dentist Blanca Murillo and employee Jose Luis Carrillo Ibarra with defrauding Illinois Medicaid of over $100,000. They face multiple felony counts in Cook County.

Attorney General Kwame Raoul announced charges against a former employee of a greater-Chicago assisted-living facility for sexual abuse against an individual with a disability.

Three illegal aliens from Guatemala were indicted for smuggling unaccompanied alien children and defrauding the government in Cleveland, Ohio. Another illegal alien was sentenced for smuggling and abusing a child.

Barbara A. Smith, 75, of Powell, TN, was sentenced to 37 months in prison and ordered to pay $4,810,878 in restitution for her role in a multi-million-dollar prescription fraud scheme.

The U.S. Department of Justice announced federal and state charges against 9 defendants in Ohio for their alleged participation in over $42 million in fraud, including health care and government program fraud.

New York Attorney General Letitia James announced a court victory against Wayne LaPierre, requiring him to pay $4.3 million for mismanagement of NRA funds and banning him from NRA leadership for 10 years.

New York Attorney General Letitia James leads a coalition urging donor-advised funds to resume donations to the Southern Poverty Law Center after DOJ's indictment. The coalition warns against political targeting of nonprofits. Location: New York, NY.

The Justice Department announced charges against 15 defendants in Minnesota for their alleged involvement in fraud schemes totaling over $90 million, including significant Medicaid fraud cases.

The Justice Department announced charges against 15 defendants for Medicaid fraud schemes in Minnesota, totaling over $90 million in intended loss. This includes the largest Medicaid fraud cases ever charged in the state.

Irakli Nakashidze, a Georgian citizen, was sentenced to 37 months in prison for laundering over $1.1 million in health care fraud proceeds. He operated a sham medical supply company in Miami, Florida, that defrauded Medicare.

Marisol Rodriguez, 49, of Lehigh Acres, Florida, was arrested on a federal complaint for health care fraud offenses against Connecticut’s Medicaid program. The charges were announced by U.S. Attorney David X. Sullivan and other officials.

The Massachusetts Attorney General’s Office indicted Dr. Jeffrey J. Jones and Dr. James C. Wilson III for illegal prescribing of controlled substances and Medicaid fraud in Worcester County. Each faces eight counts of illegal prescribing and one count of Medicaid false claims.

The operators of a day treatment program for children have agreed to a $15.2 million civil judgment to resolve Medicaid fraud allegations in Kentucky and Ohio. The settlement addresses violations of the False Claims Act.

Na’Trell W. Bryant and Matthew A. Gregg were arrested for neglecting residents at an assisted living facility in South Carolina. The charges were announced by Attorney General Alan Wilson.

Dr. Nkechy Ezeh, former CEO of a West Michigan nonprofit, was sentenced to 70 months in federal prison for a fraud scheme that stole $1.4 million intended for preschool children. She also received a concurrent 60-month sentence for tax evasion.

A former NFL player was sentenced to 196 months in prison for a scheme that defrauded Medicare and CHAMPVA of nearly $200 million by selling unnecessary orthotic braces. The fraud involved selling patient information and sham doctors’ orders.

Poul Thorsen, a Danish autism researcher, was extradited from Germany to face federal charges of wire fraud and money laundering related to stealing CDC grant money. He was arraigned in Atlanta, GA.

A former caregiver in Memphis has been arrested for identity theft and financial exploitation of a vulnerable adult in her care, following an investigation by the Tennessee Bureau of Investigation and Memphis Police Department.

Attorney General Jeff Jackson announced a $584,143 settlement with Crossroads Treatment Center of Greensboro for submitting false claims to Medicaid. The settlement funds will be split between the Medicaid program and North Carolina public schools.

Latisha Alexandria Massey, 38, from Greer, SC, faces additional charges for alleged crimes against vulnerable adults, announced by Attorney General Alan Wilson. She was booked into the Greenville County Detention Center on May 6, 2026.

Helen Boerman, 48, of Brentwood, TN, pleaded guilty to defrauding Medicare out of $6.9 million. The case was announced by U.S. Attorney Braden H. Boucek for the Middle District of Tennessee.

Salud Para La Gente, a nonprofit health care provider, will pay $750,000 to resolve allegations of submitting false claims to Medicaid related to misbranded contraceptives in California.

Manuel Antonio Baez, a Dominican national in Dorchester, MA, was charged with healthcare benefit fraud and aggravated identity theft, including false representation of a Social Security number. The charges were filed on May 6, 2026.

The U.S. Secret Service led an operation in Northern California, removing five illegal skimming devices from businesses, preventing a potential loss of over $5.2 million. The operation took place in Sacramento and Napa Counties from April 27-29, 2026.

Two men were sentenced for defrauding Medicare and Medicaid by submitting over $522 million in fraudulent claims for unnecessary genetic tests through illegal kickbacks. Location: Not specified.

Rebecca Walker and Douglaz Walker were charged for submitting false time records to Medicaid for personal care services they did not provide in St. Louis, MO.

Tri-Area Community Health in Laurel Pike, Virginia, will pay $513,729.90 to resolve allegations of improper Medicare billing for Annual Wellness Visits conducted without appropriate physician oversight. The settlement follows a review of their billing practices from August 2022 to December 2025.

The U.S. Department of Justice has launched the West Coast Health Care Fraud Strike Force to combat health care fraud schemes in Arizona, Nevada, and Northern California, targeting over $45 billion in fraudulent billing.

Megan Nicole Tillery, 39, was sentenced to 28 months in prison for soliciting bribes while employed at the Community Action Partnership in Meridianville, Alabama. She received over $15,000 in bribes between July 2022 and December 2023.

PA Lifesharing, LLC has agreed to pay $1,211,095.53 to settle allegations of submitting false claims to Medicaid by allowing unqualified professionals to provide services. The violations occurred in Harrisburg, PA.