US judicial authorities announced on Monday that they hunt for medical insurance fraud avoided the diversion of more than US $ 11 billion from the health system since the start of the year.
This fraud hunt for various sickness insurance in 2025 ended in criminal proceedings against 324 people, said at a press conference Matthew Galeotti, head of the ministry’s criminal division.
Fraud attempts are estimated to be an amount of US $ 14.6 billion. Of this total, “the effective loss is $ 2.9 billion,” he said, welcoming that the intervention of the authorities has saved most.
The biggest file, made public last week, concerns a network based in Russia which was fragmented Medicare, health insurance covering over 65, by means of personal data stored with more than a million Americans.
This network, which had bought dozens of medical equipment companies, presented for 10.6 billion reimbursement requests for various medical devices on behalf of these patients and their knowledge.
In total, 19 people were charged in the United States in this file, 12 of which were arrested, including four in Estonia in cooperation with the authorities of this country, the United States justice ministry said on a statement on Monday.
“We observe a disturbing trend in which transnational criminal organizations are embarking on increasingly sophisticated and complex criminal machinations to defraud the American health system. As part of this dismantling, we have identified and charged with the accused operating from Russia, Eastern Europe, Pakistan and other foreign countries, “said Galeotti.
Among the 324 accused are “96 approved health professionals, including 25 doctors,” said Christopher Delzotto, head of the FBI unit, the federal police, in charge of the fight against health insurance fraud.
