The US Treasury Department has identified about $17.5 billion in suspicious financial activity potentially linked to health care fraud, based on reports filed by banks and other financial institutions.
The Financial Crimes Enforcement Network (FinCEN) analysed 5,702 Bank Secrecy Act reports submitted between March 2025 and February 2026. The reports flagged suspicious transactions involving Medicare, Medicaid and private health insurance programmes.
Banks and other depository institutions accounted for nearly 89% of the reports reviewed and about 87% of the total suspicious activity value.
FinCEN said the suspected fraud involved providers across all US states, as well as Puerto Rico, Guam and the US Virgin Islands. Only around 1.5% of the nearly 13,000 addresses linked to the subjects were located outside the US.
By identifying and reporting this suspicious activity, financial institutions have given law enforcement critical insight into the illicit actors who deliberately exploit U.S. health care benefits programs. Treasury will continue working alongside our law enforcement partners to… https://t.co/fXP9lVAf3y
— Treasury Secretary Scott Bessent (@SecScottBessent) September 9, 2026
Home health care businesses were the most commonly identified provider category, accounting for 20% of reports where a provider was named. Other sectors included hospice care, mental health and addiction treatment, medical equipment suppliers and adult and child day care services.
The agency also found that suspected fraud proceeds were allegedly used for personal expenses, luxury purchases and transfers to overseas accounts. A smaller number of reports pointed to possible links with organised fraud networks and foreign entities.
