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FinCEN issues financial trend analysis flagging $17.5B in suspected health care fraud

September 18, 2026

On September 9, FinCEN issued a Financial Trend Analysis (FTA) identifying approximately $17.5 billion in suspicious activity potentially linked to health care fraud, based on more than 5,700 BSA reports filed between March 2025 and February 2026. The reports — roughly 89 percent of which came from depository institutions — indicated that suspected fraud schemes targeted a mix of Medicare, Medicaid and private insurance programs. Home health care businesses were the most frequently identified suspected fraudulent provider type, according to FinCEN, followed by hospice care companies, mental and behavioral health and addiction treatment providers, medical equipment providers, and adult or child daycares, with filers identifying subjects in all 50 states and several U.S. territories.

The FTA found that suspected perpetrators employed a range of money laundering techniques before spending the fraudulently obtained payments, with proceeds frequently used on personal expenses and luxury goods, and some funds sent internationally, most frequently to Hong Kong. A small percentage of reports also pointed to suspicious activity potentially involving larger fraud rings or criminal networks. The FTA is FinCEN’s second health care fraud-related product issued this year, following a March 2026 advisory on health care fraud schemes targeting Medicare, Medicaid and other federal and state health care benefit programs.