DOJ ramps up health-care fraud investigations, urges companies to self-report and reward remediation

At the STAT Summit in Boston, DOJ officials announced a renewed focus on health-care fraud, especially targeting Medicare and Medicaid schemes.

Deputy Assistant Attorney General Jacob Foster said the agency will use AI tools, whistleblower tips, and voluntary self-disclosures to identify large fraud schemes.

Companies will have a "one-stop shop" to file self-reports, and the DOJ says it will consider remediation efforts when deciding on enforcement, effectively rewarding proactive compliance.

The message to health-care executives is clear: avoid the fate of Theranos by cooperating early, as the administration intensifies its enforcement posture.