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US health watchdog expects $5.56 billion in recoveries and savings

  • HHS watchdog reported $5.56 billion in projected recoveries/savings over six months, but overall enforcement actions fell to a two‑year low — blunting the administration's claims of an unprecedented crackdown.
  • Big outcomes included a 15‑year sentence in a $1 billion telemedicine fraud and about $674 million in settlements with Kaiser affiliates and Aetna/CVS.
  • Audits found hundreds of millions in improper Medicaid payments for autism therapy in several states, largely due to paperwork and oversight failures rather than clear criminal schemes.
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