The HHS Office of Inspector General reported a $5.56 billion in savings and recoveries from Oct. 1, 2025, through March 31, 2026.
OIG released its semiannual report in July. The division focuses on fraud, waste and abuse in government healthcare programs, including Medicaid and Medicare.
Here are six things to know from the report:
1. The $5.56 billion figure is comprised of $4.3 billion in investigative receivables, $814.1 million in audit and evaluation receivables, and $447.6 million in possible cost savings.
2. OIG said its work results in $12.70 in expected recoveries and receivables per dollar invested.
3. Enforcement actions include 245 criminal informations and indictments, 317 criminal actions, 287 civil actions, and 1,212 people and entities excluded from federal programs.
4. The report cited Kaiser Permanente’s $556 million settlement and Aetna’s $117.7 million settlement addressing False Claims Act allegations as two major managed care cases from the period. In February, Kaiser sued several liability insurers, seeking contributions to pay the settlement. The case is still ongoing.
5. The OIG tip hotline had 95,776 total contacts through the hotline itself and its web portal. Of those, 40,815 were reviewed for possible investigation.
6. In fiscal 2025, OIG’s collaboration with Medicaid fraud control units led to 1,185 convictions and more than $2 billion in recoveries.
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