HHS OIG Health Care Fraud Enforcement
Material regulatory developments from Office of Inspector General, U.S. Department of Health and Human Services are tracked daily by Cresthaven Analytics. Over the last 90 days, 9 material briefs relevant to professionals operating in the healthcare & life sciences sector have been published below. Each brief is sourced directly from the primary regulatory feed, summarized for institutional readers, and scored for materiality.
Recent material activity
A selection of recent published briefs; this is not a complete archive.
Connecticut physician and two practices settle COVID-19 and healthcare fraud claims for $866,539 with three-year federal program exclusion
On October 16, 2026, the U.S. Attorney's Office for the District of Connecticut announced that Steven Murphy, M.D. and his two practices entered a civil settlement agreement with federal and state governments. The settle…
Read the full HHS OIG Health Care Fraud Enforcement brief →DOJ Fraud Division and HHS-OIG establish unified self-disclosure protocol for criminal health care fraud
The Justice Department's National Fraud Enforcement Division and HHS-OIG issued a joint policy on October 15, 2026, establishing a single-disclosure pathway for companies voluntarily reporting potential criminal health c…
Read the full HHS OIG Health Care Fraud Enforcement brief →DOJ sentences Kansas CEO to 19 years for $1 billion Medicare fraud via false-orders platform
The Department of Justice sentenced a Kansas CEO and internet platform owner to 19 years in prison on October 15, 2026, for operating a platform that generated false doctors' orders and prescriptions. The platform defrau…
Read the full HHS OIG Health Care Fraud Enforcement brief →CVS Pharmacy agrees to pay $315 million to resolve opioid prescription and false claims allegations
The Department of Justice announced on October 13, 2026 that CVS Pharmacy Inc. and its related corporate entities have agreed to pay $315 million. The settlement resolves allegations that CVS illegally filled opioid and …
Read the full HHS OIG Health Care Fraud Enforcement brief →HHS OIG and DOJ indict Maryland man on 13 counts tied to $100 million COVID-19 testing fraud scheme
A federal grand jury in the District of Maryland indicted Marc Aaron Potash, 57, of Rockville, on October 9, 2026, charging him with conspiracy to commit healthcare fraud, seven counts of healthcare fraud, and five count…
Read the full HHS OIG Health Care Fraud Enforcement brief →Oklahoma DME company owner sentenced to 14 years for $30 million Medicare, TRICARE, and CHAMPVA fraud
A federal court sentenced an Oklahoma chiropractor and medical supply company owner on October 9, 2026 to 14 years in prison for billing Medicare, TRICARE, and CHAMPVA for orthotics, continuous glucose monitors, and othe…
Read the full HHS OIG Health Care Fraud Enforcement brief →New York AG indicts Queens pharmacy owner for $31 million Medicaid and ADAP fraud scheme
New York Attorney General Letitia James announced the October 7, 2026 arrest and indictment of Miguel Baron, owner of Guardiola Pharmacy and Baron Specialty Pharmacy in Jackson Heights. Baron allegedly directed a cash-ki…
Read the full HHS OIG Health Care Fraud Enforcement brief →HHS OIG and DOJ secure $20 million False Claims Act settlement against Heal 360 Clinics and owner over COVID-19 uninsured program fraud
HHS OIG and the Department of Justice announced on October 7, 2026 that Heal 360 Urgent Care PLLC, Heal 360 Primary Care PLLC, and their owner Dr. Mohammed Amer Mohiuddin agreed to pay $20 million to resolve False Claims…
Read the full HHS OIG Health Care Fraud Enforcement brief →Houston physician indicted on 12 counts for $30 million COVID-19 billing fraud against federal health programs
A federal grand jury in the Southern District of Texas indicted Houston physician Joseph A. Montes on October 6, 2026, on 12 counts of health care fraud. The indictment alleges that Montes and co-conspirators submitted f…
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