The U.S Department of Health and Human Services Office of Inspector General (HHS-OIG) on Wednesday released its semi-annual report to Congress, summarizing highlights of its six-month period ending on September 30, 2025. Here are five key findings.
During the six-month reporting period, OIG:
- Added $2.43 billion to its monetary impact, which cumulatively has exceeded $19 billion for the fiscal year. The watchdog’s work returns $12.70 in expected recoveries and receivables for every $1 invested.
- Partnered with federal and state law enforcement in the largest health care fraud takedown in the Department of Justice history, involving schemes totaling $14.6 billion.
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- Issued 195 recommendations that identified $983.9 million in questioned costs and funds.
- Excluded 1,336 individuals and entities from participating in federal health care programs for different reasons, including a conviction for Medicare or Medicaid fraud.
- Found $4.2 billion in potential waste associated with Medicare Advantage risk-adjusted payments.