U.S. Financial Crimes Enforcement Network identifies USD 17.5 billion in activity potentially linked to health care fraud

The U.S. Financial Crimes Enforcement Network published a Financial Trend Analysis identifying approximately USD 17.5 billion in suspicious activity potentially linked to health care fraud. The analysis covers 5,702 Bank Secrecy Act reports filed by 471 financial institutions from March 1, 2025, through Feb. 28, 2026, and includes completed and attempted transactions. Depository institutions submitted 89% of the reports and accounted for nearly 87% of the reported amounts. The suspected schemes drew funds from Medicare, Medicaid and private insurers, sometimes through multiple programs. Home health care businesses were the most frequently identified suspected fraudulent providers, followed by hospice, mental and behavioral health, addiction treatment, medical equipment and daycare providers. Reported proceeds were moved through methods ranging from direct transfers and personal or luxury spending to complex layering and overseas payments. About 5% of reports involved international transfers, while 4% identified potential links to larger fraud rings or criminal networks. FinCEN cautioned that suspicious activity reporting does not represent the full scale of health care fraud and may include overlapping, cumulative or otherwise inclusive transaction amounts. The findings are consistent with typologies in reports filed after FinCEN issued its March 2026 advisory on fraud targeting government health care benefit programs.