- HHS watchdog reported $5.56 billion in expected recoveries and projected savings for Oct 2025–Mar 2026 — roughly $12.70 returned for every dollar spent.
- Big enforcement wins included a CEO sentenced to 15 years and $452 million restitution for a >$1B telemedicine/DME fraud, plus $674 million in settlements with Kaiser affiliates and Aetna over inflated Medicare Advantage billing.
- The OIG excluded 1,212 individuals/entities from federal programs (down from ~1,500 last period) and criminal referrals fell, and it now uses a broader "total monetary impact" measure that includes projected savings.
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