Federal Agencies Intensify Healthcare Fraud Enforcement with Advanced Analytics and AI

Federal enforcement agencies, including the Department of Justice (DOJ), the U.S. Department of Health and Human Services Office of Inspector General (OIG), and the Centers for Medicare & Medicaid Services (CMS), are increasingly utilizing sophisticated data analytics and artificial intelligence to identify and combat healthcare fraud. This initiative follows the DOJ's 2026 National Health Care Fraud Takedown, which resulted in charges against 455 defendants and over $6.5 billion in alleged false claims.