DOJ expands healthcare-fraud crackdown in Philadelphia with 19 charged in $4M Medicare/Medicaid scheme

The Justice Department is expanding its Northeast Health Care Fraud Strike Force to Philadelphia, charging 19 defendants in more than $4 million in Medicare and Medicaid fraud tied to home-health services. The cases involve false clock-ins, services billed while defendants were incarcerated or away, overlapping hours, and a Medicaid recipient who worked as a carpenter while claiming extensive home-health needs. The expansion strengthens federal enforcement in the Eastern District of Pennsylvania through partnerships with HHS OIG, FBI, and DEA, following broader nationwide actions targeting billions in losses in 2025–2026.