Ron Chapman Off Air

← Ron Chapman Off Air29 Jun · 25 min

How the DOJ Turned Billing Data Into a $6.5 Billion Takedown

How the DOJ Turned Billing Data Into a $6.5 Billion Takedown29 Jun25 min

The Department of Justice announced a $6.5 billion national healthcare fraud takedown, charging 455 defendants across the country. It was presented as one coordinated event, a single message meant to deter fraud. The reality is more complicated. This episode examines how modern healthcare fraud enforcement now runs on data. Algorithms flag providers who bill more than their peers, analysts turn those outliers into investigations, and prosecutors build cases inside a federal data repository po...