DOJ, Todd Blanche say hundreds charged in $6.5B in health care fraud schemes: Full press conference

[0:00] One of these little regional takedowns, he e-mails me and says, [0:05] could I have the names of all the guys who are with me on a personal note? [0:09] He doesn't really imagine. [0:11] And they're not in the takedowns. [0:13] Yeah. [0:14] But we also, it also is out of the 1811s on takedowns. [0:18] Yeah, yeah. [0:19] The SAC and a couple other guys. [0:20] So did you have to? [0:21] Mm-hmm. [0:22] Yeah. [0:24] Oh, well. [0:27] Correct, we did not. [0:29] Good morning. [0:45] Good morning, everybody. [0:48] Today, we are here to announce the results of the 2026 National Healthcare Fraud Takedown. [0:55] This announcement marks the greatest combined federal and state effort in combating healthcare [1:02] fraud in history. [1:03] Thanks to the leadership of President Trump and the Vice President and all those folks standing [1:10] behind me and next to me, we are more united than ever before. [1:14] This team is working tirelessly to takedown fraudsters who steal from taxpayer-funded programs [1:21] and prey on vulnerable Americans. [1:24] When we talk about the team that's working on these cases, I want to give some context [1:31] around that. [1:34] There are nine healthcare fraud strike forces that have been part of this effort. [1:39] There are 57 U.S. Attorney's offices, 41 state Attorney General's offices, not red states, not [1:49] blue states, but both working together with the federal government. [1:53] Multiple law enforcement agencies, including inspector generals, some of the agencies that are here with me on this stage. [2:03] That's what we talk about when we say this is an all-government approach to combating fraud. [2:08] It's not just the Department of Justice. [2:10] It's not just HHS. [2:12] It's all government, including working with our state and local partners. [2:17] Today, we are announcing federal and state charges, all of which were charged or unsealed at some point over the past two weeks, [2:26] the past 14 days, coordinated nationwide action. [2:31] Since June 8th, we've charged 455 defendants across 56, like I said a minute ago, U.S. Attorney's offices, and 45 U.S. states and territories. [2:43] As alleged in the various indictments, these individuals participated in healthcare fraud schemes involving over $6.5 billion in false claims submitted to Medicare, Medicaid, and other healthcare programs. [2:59] The team around me will get into more specifics, but here are a few points that stand out. [3:06] In one indictment, we're bringing charges against a corporate executive in Arizona in connection to over a $1 billion fraud involving unnecessary wound grafts. [3:18] This alleged scheme costs Medicare over $1 million per patient. [3:24] In total, our indictment charges 11 defendants for over $2 billion in fraudulent claims in connection to alleged wound care schemes. [3:34] The indictment also alleges that these individuals then used the taxpayer money to bankroll multi-million dollar homes, luxury vehicles like a $135,000 Maserati, jewelry like an $865,000 Bligari necklace, [3:51] and to top it all off, to fund the construction of a $4.6 million hotel at a beach resort in the Philippines. [3:59] We're taking back the money, the luxury cars, the jewelry, and these alleged fraudsters will face justice. [4:08] The coordinated actions of the past two weeks have resulted in over $182 million in cash and other assets seized, [4:16] making clear our healthcare fraud enforcement efforts generate a significant return on investment for our taxpayers. [4:24] In terms of Medicaid fraud, we're able to announce today the creation of the West Coast Strike Force [4:29] and the deployment of additional prosecutors, allowing us to bring charges against a record-setting 295 defendants. [4:37] Our indictments allege over $518 million in Medicaid fraud between these individual defendants. [4:44] You're going to hear from Director Patel in a moment, but apprehending alleged fraudsters remains a top priority [4:50] of the Department of Justice and the FBI and our other law enforcement partners, including the DEA, who's here as well. [4:59] At last year's takedown, a year ago, we charged multiple individuals for allegedly running a $10.6 billion medical equipment scheme [5:07] using stolen identities to make false Medicare claims. [5:12] Today, I can announce that earlier this month, we apprehended two of those defendants extradited from Estonia. [5:18] Separately, over the weekend, we conducted the foreign transfer to custody of a defendant [5:23] who was allegedly connected to another $3.7 billion in intended loss. [5:30] I want to thank our tireless federal, state, and local law enforcement agencies [5:34] who work hard every day and participated in these whole-of-government operations. [5:40] This is just the beginning. [5:42] Fraudsters can no longer rip off American taxpayers. [5:45] If you seek to harm or cheat Americans, we will find you, seize any assets, and prosecute you to the fullest extent of the law. [5:55] Thank you very much. [5:56] I'm going to turn it over now to Secretary Kennedy. [5:59] Thank you. [5:59] Thank you, Attorney General Blanche. [6:06] And thank you to the White House Fraud Task Force. [6:10] To Colin McDonald of the Justice Department, to Director Cash Patel of the FBI, to the HHS Office of Inspector General, [6:21] to Dr. Oz and the CMS team, and the investigators and law enforcement officers who brought these cases forward. [6:28] President Trump directed this administration to confront health care fraud aggressively, and we are doing that. [6:37] The 2026 National Health Care Fraud Takedown uncovered $6.5 billion in alleged fraud, [6:44] the second largest amount ever charged in a single health care fraud operation. [6:49] The Department of Justice charged a record number of Medicaid fraud defendants. [6:56] More than 440 defendants now face charges. [7:00] This effort brought together federal agencies, state partners, and U.S. territories across the United States. [7:06] Eighteen of the participating states, as Attorney General Blanche pointed out, were blue states with Democratic governors. [7:17] Raw does not recognize party lines, and neither does accountability. [7:21] Today's cases include the largest Medicaid fraud enforcement action department of history, [7:27] 165 defendants charged with allegedly submitting more than $200 million in false claims to Medicaid. [7:35] These schemes did not target government programs. [7:40] They targeted the American taxpayer. [7:42] They stole money from workers who pay taxes, from families who depend on Medicare and Medicaid, [7:47] and from patients who trusted their health care professionals to be serving their health interests [7:56] when it turns out they were just chasing money from our agencies. [8:01] The allegations in these cases are particularly disturbing. [8:04] Some defendants allegedly ordered medically unnecessary tests. [8:09] Others prescribed products that patients did not need. [8:13] Some allegedly fueled opioid addiction to increase their own revenue. [8:18] In certain cases, patients allegedly died while believing they were receiving legitimate Medicare, [8:25] medical care from providers, who only viewed them as billing opportunities. [8:31] These defendants did not simply break the law. [8:34] They violated the trust that patients place in medical professionals. [8:39] One of today's indictments charged a hospice owner in the Los Angeles area and two marketers [8:46] in a $27.7 million Medicare fraud scheme. [8:51] According to the indictment, the owner paid illegal kickbacks to obtain personal information [8:56] information of deceased Medicare beneficiaries. [8:59] One of the ways that Colin and Dr. Oz have been chasing down hospice fraud, [9:05] we've chugged clothes now to 800 hospices in L.A. [9:09] And one of the ways that we've been able to detect that fraud is that, [9:13] in many of them, the patients never die. [9:15] They live forever. [9:16] That's not supposed to happen in hospices. [9:20] And this particular owner was actually going out and purchasing names from coroners of dead [9:25] patients and then billing us for those, making it appear that some of his patients were actually [9:31] finally dying. [9:34] And while taxpayers funded these false claims, the owner purchased a Rolls-Royce Phantom. [9:39] That case illustrates exactly what is at stake. [9:44] Every fraudulent dollar diverted into a criminal scheme is a dollar unavailable for patient care, [9:51] for medical innovation, or for services for vulnerable Americans. [9:56] During the Biden administration, my predecessor implemented two reforms at HHS. [10:05] One of those was the so-called pay and chase system. [10:07] We know when billing, when invoices come into my agency, we can tell that some of them are fraudulent [10:14] or probably fraudulent. [10:17] And the new system said, we're not going to stop those payments. [10:22] We want everybody paid and then we'll claw them back at the end. [10:25] It was called pay and chase. [10:27] And when I asked people the careers at HHS, how could you do this? [10:32] This is crazy because, of course, we never claw back anything. [10:35] They said that they were told to focus on enrollment and not fraud. [10:40] The other thing that they did is to liquidate our program integrity office. [10:49] So when my predecessor came into office, there were 80 people in program integrity, [10:54] which is not enough because it's 50 states and five territories. [10:58] And when I got in, there was only six left. [11:02] So all of those people were transferred or let go. [11:05] And we were literally doing no program integrity. [11:09] And that opened up the floodgates for all of this fraud. [11:12] $100 billion in fraud a year that are being stolen now from my agency. [11:16] The federal government paid claims first and chase fraud after the money was out the door. [11:23] And that approach, of course, failed taxpayers. [11:26] We are ending it. [11:28] HHS is replacing the old pay and chase system with a detect and prevent strategy [11:33] that identifies suspicious claims before the taxpayer dollars ever leave the Treasury. [11:39] We are deploying advanced artificial intelligence and data analytics to identify fraudulent billing patterns in real time, [11:48] stop improper payments before they occur, and strengthen oversight across federal health programs. [11:55] Our objective is straightforward to stop the fraud before it happens. [12:00] The people charged today should understand that we will continue expanding these capabilities, [12:06] strengthening enforcement, and pursuing every credible allegation of fraud. [12:12] If you exploit patients for profit, if you steal Medicaid or Medicare dollars, [12:18] if you treat taxpayer dollars as your personal bank account, [12:23] we will investigate you, we will build a case, and we will bring you to justice. [12:27] We will find fraud, we will stop it, we will recover taxpayer dollars whenever the law permits, [12:34] and we will restore integrity to the programs that millions of Americans rely on for their care. [12:41] Thank you, and I now want to introduce Colin. [12:45] Colin McDonald from the Justice Department. [12:55] Thank you, Secretary Kennedy. [12:57] Today's record health care fraud charges and arrests makes clear that there is no case too big, [13:04] no scheme too complex, and no hiding place too remote for our fraud-fighting team. [13:10] In just 14 days, 455 defendants have been charged across the country for schemes involving over $6.5 billion in fraud. [13:23] Under the leadership of President Trump, Vice President Vance, and Attorney General Blanche, [13:28] the Department of Justice is aggressively scaling our offensive against anyone using health care [13:35] as a front to steal from the American people. [13:40] But today's cases allege more than the theft of taxpayer dollars. [13:46] Many allege the theft of human dignity. [13:49] Our sick, needy, and elderly, placing their faith in the gift of medicine, [13:57] were neglected, ignored, and used for personal profit. [14:02] For example, one defendant is charged with conspiring to submit approximately $89 million [14:08] in false and fraudulent claims for cardiovascular tests. [14:12] This defendant allegedly used marketing tactics designed to prey on fears that student athletes could die [14:20] from sudden cardiac arrest. [14:23] He then allegedly rubber-stamped test results as normal without reviewing them. [14:30] Despite one patient's test results showing an enlarged heart, [14:34] the defendant allegedly signed off on the test results within approximately 11 seconds [14:39] of accessing the 63 test result images. [14:44] As a result, the student was cleared to play, [14:49] and he suffered sudden cardiac arrest and died on the basketball court just weeks later. [14:57] That is why we cannot and will not tolerate fraud in health care. [15:04] How are we going about targeting fraud in health care? [15:07] We are following the data. [15:10] Data talks, and data doesn't lie. [15:13] It identifies where fraud is happening and unmasks the perpetrators driving it. [15:19] For example, our data analytics team observed a dramatic spike in payments for allografts [15:25] from less than $1 billion in 2021 to over $14 billion just four years later. [15:31] Our resulting investigations have led to criminal charges against 11 defendants [15:35] across six districts for allograft fraud, [15:39] including a company executive and eight medical professionals. [15:42] What happened here, to be clear, was not medicine. [15:48] The defendants in these schemes purchased allografts for $30 to $75, [15:54] inflated the price up to nearly 50 times that cost with the tab picked up by the taxpayers, [16:02] and then secretly gave lucrative kickbacks for allografts applied. [16:06] Marketers and nurses who took kickbacks targeted vulnerable hospice patients, [16:12] making in many instances over $1 million per patient. [16:16] These allograft fraud charges are the result of just one of our many, many data-driven initiatives. [16:22] We are announcing today the first prosecution arising out of our financial intelligence review team, [16:28] a cutting-edge effort to combine traditional data analytics with financial information. [16:33] In less than seven months, after identifying a suspicious behavioral health provider in Illinois, [16:40] we brought charges against a defendant for a $67 million Medicaid fraud scheme. [16:45] The defendant allegedly billed Medicaid for providing behavioral health services [16:48] to patients who received no services and were actually even hospitalized [16:53] at entirely separate health facilities at the time of the billings. [16:59] Today is just the beginning of a new era of health care fraud enforcement. [17:03] The Fraud Division's Health Care Fraud Unit, which led today's nationwide takedown, [17:09] is one of the best investments across the government, [17:12] saving $106 for every dollar spent. [17:15] And with the whole-of-government laser-focused on rooting out fraud [17:19] under the leadership of the White House Task Force to Eliminate Fraud, [17:23] we are rapidly enhancing our fraud-fighting capabilities. [17:27] Today, we are announcing an agreement with the Centers for Medicare and Medicaid Services [17:31] to obtain dedicated cloud computing space in the CMS's cloud environment [17:35] to run real-time advanced analytical models to detect fraud. [17:40] We are also announcing agreements with the Federal Trade Commission [17:43] and Customs and Border Protection to eliminate data silos [17:46] and enrich our algorithms. [17:49] And we're coordinating with prosecutors, agents, and analysts [17:52] from across state and federal government [17:54] at a scale and scope that has never before existed until today. [18:00] The era of getting rich off America's health care system is over. [18:04] If you defraud the American people [18:07] and put profit over patience, [18:10] we will do everything we can to put you in prison. [18:15] I'll now turn the podium over to a critical partner [18:17] in our fight against fraud, Director Kash Patel. [18:27] Thank you. [18:29] America, you should take a look. [18:30] You should take a look at what leadership from the White House [18:34] and the President Trump's prioritization [18:35] to go after and combat fraud looks like. [18:38] America should take a look at the Vice President's Task Force [18:41] and the initiative by the Justice Department here [18:43] under A.G. Todd Blanche and A.G. Colin McDonald. [18:47] Fraud is no longer being tolerated. [18:49] It is not being put up with. [18:50] And you've seen the staggering numbers [18:52] that in just the last two weeks, [18:54] that's all we're here to talk about today, [18:55] is just the last two weeks of fraud, [18:57] of perpetrators and criminals [18:58] who have been arrested and apprehended from around the world, [19:02] totaling over $6 and $7 billion in fraud, [19:05] in money stolen from the American people, [19:07] our precious taxpayer dollars [19:09] that are supposed to service our seniors and our kids [19:11] were being stolen outright [19:13] by individuals who thought they could get away with it. [19:15] But thanks to the Trump administration [19:17] and the Vice President's Task Force [19:19] and the White House Task Force [19:20] and the Department of Justice's courageous prosecutors, [19:22] we have now been able to charge [19:24] a record number of individuals. [19:26] I just want to go over a couple of things. [19:28] One such individual, [19:30] the FBI is responsible [19:31] for what we call foreign transfer of custodies, FTOCs. [19:35] Last week, the FBI executed four FTOCs [19:37] on four separate continents in 24 hours. [19:40] We did this because we had the backing [19:42] of the White House and the U.S. government [19:43] and the Department of Justice [19:44] to go out and apprehend criminals wherever they are. [19:47] One such individual related to fraud [19:49] was apprehended in Turkey [19:50] thanks to the relationships and partnerships [19:52] between Ambassador Tom Barrack [19:53] and the Turkish government. [19:55] Mr. Hilmi was arrested [19:56] after perpetrating a multibillion-dollar fraud [20:00] in Turkey, apprehended, [20:01] and transferred back to the United States of America [20:03] while he were faced prosecution. [20:05] I also want to highlight [20:07] the Vice President's brilliant idea [20:09] to put together a Most Wanted Fraudsters list. [20:11] The FBI has always had [20:13] our top 10 Most Wanted Fugitive list. [20:16] But we, in two weeks ago, [20:17] I think we were all in Ohio [20:18] where we announced [20:19] our Most Wanted Fraudsters list. [20:20] And in just the last two weeks, [20:22] thanks to the help [20:23] of the American people in the world, [20:25] we have apprehended [20:25] two of the Most Wanted Fraudsters already. [20:28] One of those individuals, [20:29] Herbert Leon Kimball, [20:31] was apprehended in the Philippines. [20:32] He's an American citizen. [20:33] He had been bilking, allegedly, [20:35] the system against Medicaid [20:37] for billions of dollars since 2014, [20:39] $1.2 billion in telemedicine, [20:41] specifically alone. [20:42] That individual was apprehended [20:44] in the Philippines [20:44] and transported back [20:46] to the United States of America [20:47] where he will now face justice. [20:49] This is the reach [20:50] of the United States government. [20:51] This is the reach of this team, [20:52] the interagency, [20:53] and state and local partners [20:54] focused on one mission [20:55] and one mission alone [20:56] to combat fraud [20:57] and make sure the American public's [20:59] precious taxpayer dollars [21:00] go where they're supposed to go, [21:02] to the American people [21:03] that need them the most [21:05] and not to these criminals [21:06] who are stealing from us [21:08] day in and day out. [21:10] Those days are over [21:11] and this should showcase [21:12] to the world [21:13] the length that we will go [21:14] as an interagency [21:15] and as a task force [21:16] to apprehend and arrest [21:18] and bring to justice [21:19] anyone who steals our dollars [21:21] that are meant [21:21] for our most vulnerable citizens. [21:23] We're also going to ask [21:25] what we did in Ohio [21:27] a couple of weeks ago [21:27] and we'll circulate it [21:29] on social media later. [21:31] We're adding two more individuals [21:32] to the most wanted fraudster list. [21:34] I said then [21:35] and I've said it before [21:36] the American people [21:37] in the world [21:38] are our best sources [21:39] of information. [21:40] There is no such thing [21:41] as bad information. [21:43] So if you have any information [21:44] on Khalid Satari [21:45] who is wanted [21:46] for a $547 million [21:48] genetic testing scheme [21:49] and we believe [21:50] to be hiding [21:51] in the United Arab Emirates [21:52] call 1-800-CALL-FBI [21:54] 1-800-CALL-FBI [21:55] let us know. [21:56] You saw what we did [21:57] in just two weeks [21:58] by apprehending [21:58] two of the most wanted fraudsters [21:59] with your help [22:00] we will apprehend [22:01] the rest of them. [22:02] The last one is Emily Tai [22:03] who is also wanted [22:04] in connection [22:05] with a genetic testing scheme [22:06] for allegedly stealing [22:08] $90 million [22:08] and she was previously [22:11] on an ankle monitor [22:12] and fled we believe [22:13] to Vietnam. [22:14] So if the American public [22:15] or anyone in the world [22:16] has information [22:16] on Emily Tai [22:17] please call 1-800-CALL-FBI [22:20] we need your information [22:21] we need your help [22:22] and you have now seen [22:23] what we can collectively do [22:24] as an interagency [22:25] under the Attorney General's [22:26] brilliant leadership [22:27] and the prioritization [22:27] at the White House [22:28] that fraud will not be tolerated [22:30] that fraud perpetrators [22:31] will be apprehended [22:32] not just across [22:32] the United States of America [22:34] but from the four corners [22:35] of the world. [22:36] So we plead with you [22:36] to give us any and all [22:38] information that you have [22:39] and again the only type [22:40] of bad information [22:40] is the one that we don't [22:42] receive from you. [22:43] So please call [22:43] 1-800-CALL-FBI [22:44] with any information [22:46] on any of the fraudsters [22:47] on our most wanted list [22:48] and this should be [22:49] a clear message [22:50] to the world [22:50] that the FBI [22:52] along with our interagency [22:53] partners are not tolerating [22:54] fraud anymore [22:54] and we will chase them down [22:56] just like we chase down [22:57] terrorists, narco traffickers [22:58] gangbangers [22:59] and those that wish to do harm [23:01] to our communities [23:02] because this type of harm [23:03] is equally as harmful [23:04] to our most vulnerable. [23:06] Thank you. [23:07] And I now turn it over [23:08] to our brilliant partner [23:09] Dr. Oz. [23:15] I'm going to put my doctor's hat [23:17] on here. [23:17] There's two issues [23:18] that we have not gone into [23:19] in detail [23:19] but they've been mentioned [23:20] by many. [23:21] The first is affordability. [23:22] The $100 billion [23:23] that Secretary Kennedy mentioned [23:25] is stolen from Medicare [23:26] and Medicaid [23:26] if we were able [23:27] to just take that out [23:28] of what's being stolen [23:29] from Medicare [23:30] would double the life expectancy [23:32] of the Medicare trust fund. [23:34] It massively changes [23:35] what people pay [23:36] when we tolerate [23:36] this kind of fraud. [23:38] The second big message [23:38] again [23:39] is that costs matter. [23:41] They matter a lot [23:42] and they're measured [23:43] oftentimes in ways [23:44] that we can put on signs [23:45] but the actual cost [23:46] is that of human health [23:47] and the lives of humans [23:49] hurt by these fraudsters [23:50] because they don't care [23:51] about you. [23:52] If they're willing to steal [23:53] your money [23:53] when you're down and out [23:54] and struggling [23:54] and you're vulnerable [23:55] they will definitely take [23:56] your health [23:56] and take your life [23:57] if that's required. [23:58] Today's actions [23:59] are the results [23:59] of months [24:00] of painstaking collaboration [24:02] by law enforcement agencies [24:03] represented on this stage. [24:05] The U.S. attorney [24:05] of course [24:06] the White House [24:07] Anti-Fraud Task Force [24:08] the FBI [24:09] HHS OIG [24:10] CMS colleagues [24:11] all of us worked [24:12] tirelessly [24:13] towards one goal [24:14] making sure [24:15] that people who steal [24:16] from Medicare [24:16] and Medicaid [24:17] face real consequences [24:19] because it scares away [24:21] future perpetrators. [24:22] As Secretary Kennedy [24:23] mentioned [24:23] the general approach [24:25] has been slow [24:26] meandering [24:27] and non-consequential [24:29] for fraudsters [24:30] which is why [24:30] after COVID [24:31] they rushed into this space. [24:32] CMS's role [24:33] in this partnership [24:34] has fundamentally changed [24:35] because of the nature [24:36] of the fraudsters. [24:37] We now use techniques [24:39] that historically [24:40] were never thought of. [24:41] Instead of just flagging problems [24:42] we build cases. [24:43] Under the leadership [24:44] of Secretary Kennedy [24:45] we've created a stellar team [24:46] at CMS. [24:48] Fraud fighters [24:48] including Kim Brandt [24:50] and Janine Wugo [24:51] and others [24:52] who brilliantly reinvent [24:53] how we catch these criminals. [24:55] And by the time [24:56] our law enforcement partners [24:57] are ready to move [24:58] we aim to hand them [24:59] a file that is already complete [25:00] already ready [25:01] supported by payment suspensions [25:03] and provider revocations [25:05] funding deferrals [25:06] real-time fraud detection [25:07] that never existed before. [25:09] Now the numbers tell the story. [25:11] I'm going to give you [25:11] two really important ones. [25:12] The first is [25:13] in the first quarter of last year [25:14] we revoked billing privileges [25:16] for fraudsters [25:17] of 1,006 providers. [25:21] Pretty good result [25:22] we thought at the time. [25:24] This same period [25:25] this year [25:25] the first quarter [25:26] we made 1,400 revocations. [25:28] That's a 40% increase [25:29] over last year. [25:31] So 40% more revocations. [25:33] We also have [25:33] payment suspensions [25:34] where we just don't pay the bill [25:35] because we don't think [25:36] it's legitimate. [25:37] In addition, it's impressive. [25:38] The first half of this year [25:39] we made 1,000 [25:41] Medicare payment suspensions. [25:43] 1,000. [25:43] That's a lot of people [25:45] nearly 800, by the way [25:46] from one state, California. [25:48] For a similar period [25:49] last year [25:49] we made 219 suspensions. [25:51] So a five-fold [25:52] 500% increase [25:54] in payment suspensions [25:55] because we're using tools now [25:56] that historically [25:57] have been used marginally. [26:00] Now these efforts brand [26:01] all kinds of new tools [26:03] for Medicare and Medicaid. [26:04] The fraud war room [26:05] that has been put together [26:06] is a purpose-built tool [26:07] to identify, track, [26:09] and neutralize bad actors [26:10] often from foreign countries [26:11] much more effectively [26:13] than the old system. [26:14] The formula's straightforward. [26:15] The DOG brings [26:16] prosecutorial firepower, [26:19] law enforcement brings [26:19] investigative tools, [26:20] CMS brings data, [26:22] the analytics, [26:23] we use administrative muscle [26:24] to push things through, [26:25] and we are closing loopholes [26:26] that Frosters have avoided [26:28] and been exploiting for years. [26:30] Those days are over. [26:31] Frosters, your time is up. [26:34] Now speaking of Frosters, [26:34] I want to highlight [26:35] an important case [26:36] that drives home [26:37] what everyone on this stage [26:38] really feels deeply [26:39] in our heart. [26:39] Kim, if you can be, [26:40] this is Kim Brent [26:41] that I mentioned earlier, [26:42] bring up, [26:42] just bring that poster [26:43] of the young man up. [26:45] This young man [26:46] has been referred to already. [26:47] His name is Caden Francis. [26:48] I spoke to his mother last night. [26:50] Kim, just bring it up [26:50] if you don't mind. [26:52] Looks like a pretty good athlete. [26:56] This young man [26:56] was involved in a scheme [26:58] run by Frosters, [27:00] including doctors, [27:01] a cardiovascular testing company [27:02] whose medical director [27:03] approved EKGs [27:04] and echocardiograms, [27:06] as was mentioned earlier, [27:08] by Colin, [27:08] in as little as 11 seconds. [27:10] That was this kid's case. [27:12] The EKG was taken. [27:14] His parents were told [27:14] he was fine. [27:15] The doctor, we believe, [27:16] from the moment he got the image [27:17] to say it was fine [27:18] was 11 seconds. [27:20] The parents, [27:20] who had been marketed to, [27:22] claiming that their kid [27:23] might be at risk, [27:24] were therefore told [27:25] the kid was fine [27:26] when in fact [27:27] nothing had been done. [27:28] The October EKG [27:29] was read as normal. [27:31] The kid was dead, [27:33] dead a month later. [27:35] Now I talked to the mom, [27:36] of course, still in pain. [27:37] The family was told [27:38] the tests were normal. [27:39] Unfortunately, [27:41] and despite all these [27:42] internal communications [27:43] that we revealed, [27:44] which acknowledged by the company [27:45] that they knew [27:45] these were not normal tests [27:46] and they had done [27:48] something terribly wrong, [27:49] they kept doing it. [27:51] So that kid was hurt [27:52] irreparably, [27:53] passed away [27:54] because nothing was done [27:55] about these Frosters, [27:56] and they went right after it. [27:58] Their company billed over [27:59] $90 million [28:00] while a child [28:01] was buried by their family. [28:03] No remorse whatsoever. [28:04] Caden's mother [28:05] wanted me to give you a quote. [28:06] I'm going to read it [28:06] exactly as she gave it to me. [28:08] The doctor is as bad [28:10] as any greedy criminal [28:11] who is killing people [28:12] in the streets. [28:13] I hope he rots in jail [28:15] so no one else is hurt, [28:17] but my son [28:18] will never come back to me. [28:20] That's the real human costs [28:21] that we were speaking of [28:23] on the stage. [28:24] Julian's mother [28:25] shared the autopsy [28:26] and revealed that her son's heart [28:28] was two and a half times normal. [28:30] Instead of being this big, [28:30] I'm a heart surgeon. [28:31] That's a normal size heart. [28:33] Size of your fist, [28:34] two and a half times [28:35] larger than that. [28:35] There is no way [28:36] you could miss that [28:37] except they didn't care. [28:39] That's why mom [28:40] runs them to rot in hell. [28:42] This is not a diagnostic company. [28:43] It's a predatory scheme [28:44] dressed up in medical clothing [28:46] and we're going to treat it as such. [28:48] We've got a couple [28:49] big breakthroughs [28:50] and we put them in some of these numbers [28:52] to at least give you some confidence [28:53] that the pay and chase model [28:54] that CMS had relied on [28:56] that Secretary Kennedy spoke to [28:57] has been abandoned. [28:58] And instead, [29:00] we don't want the money [29:00] going out the back door. [29:02] We want the fraud detected [29:03] as soon as it happens [29:04] and we can stop it that way. [29:05] In original Medicare, [29:06] so far in the year of 2025, [29:09] we've done a remarkable job. [29:11] In 2024, before we came in, [29:14] we saved about 60% less money than this. [29:18] So total amount of money [29:18] saved last year, [29:19] $42 billion. [29:20] That's a return on investment [29:22] of $22 for every dollar [29:23] that we pulled back [29:24] for the American taxpayer. [29:26] Two-thirds of those savings, [29:27] $28 billion, [29:28] came from simply locking [29:30] the front door, [29:31] never letting the money [29:31] go out the door. [29:32] That's provider revocations, [29:34] automated claim denials, [29:36] all the things [29:36] that should have been done years ago. [29:38] No longer will that money [29:39] be taken out of your pocketbooks. [29:41] We've achieved this [29:42] with only a 5% increase [29:44] in Medicare program [29:44] integrity spending. [29:46] This is the best way [29:47] for us to spend [29:48] your tax dollars wisely. [29:50] The Medicaid side [29:50] is more difficult [29:51] because states run Medicaid, [29:52] but we've been on that as well. [29:54] Savings reached $4 billion [29:55] last year. [29:56] That's a 165 increase [29:58] over the prior year. [30:00] And we did that actually [30:01] by spending 7% less money. [30:03] So we spent less money, [30:05] brought in more frosters, [30:06] saved you a lot more money. [30:07] These results [30:08] don't happen by accident. [30:09] They reflect a deliberate [30:10] strategic shift [30:11] in how CMS operates. [30:12] And they show what's possible [30:13] when agencies stop working [30:14] in silos [30:15] and start working as partners [30:17] like the White House [30:19] Anti-Fraud Task Force [30:20] has been able to achieve. [30:22] Jetson leader Lewis, [30:23] Jake Foster, [30:24] OIG leader March Bell, [30:25] Rebecca Yuan. [30:26] There's lots of other people [30:27] in the room right now [30:27] who deserve a lot of credit. [30:29] All of us agree [30:30] with the President [30:31] and the Vice President [30:31] that the best prescription [30:32] for a fraudster [30:34] is prosecution. [30:35] The era of champagne [30:36] on private jets is over. [30:38] No longer will champagne [30:39] and private jets be paid for [30:41] by the American taxpayer. [30:42] Andrew Ferguson leads [30:43] that White House [30:44] Anti-Fraud Taskbook [30:45] together with Colin MacDonald [30:46] and the Vice President. [30:47] I asked him to come up [30:48] and say a few words. [30:53] Thank you, Dr. Oz. [30:54] The President said [30:55] he wanted a whole-of-government [30:56] approach to combating [30:58] healthcare fraud [30:58] and fraud across [30:59] all our benefits programs [31:00] and this is the result. [31:03] Every major leader [31:04] in this space [31:05] from the federal government [31:05] is standing up here [31:06] and all have contributed [31:08] in critically important ways [31:10] to this effort. [31:11] Investigators, prosecutors, [31:13] healthcare specialists, [31:14] the leadership at HHS [31:16] and at CMS [31:16] have made today possible. [31:18] I also want to thank [31:19] Jake Foster and his team, [31:21] Justin Woodward [31:22] and Rebecca Uya [31:23] at DOJ [31:24] at the healthcare fraud unit [31:27] that has broken records [31:29] with today's effort [31:29] not just in their own prosecutions [31:31] but in harnessing the power [31:32] of the U.S. attorneys [31:33] and state attorneys general [31:35] to make today possible. [31:37] The Vice President has always said [31:38] we have to take [31:39] a two-pronged approach to this. [31:40] We have to stop the money [31:42] from getting out [31:42] of the agencies. [31:44] Administrator Oz [31:45] and Secretary Kennedy [31:46] have talked about that [31:47] and then we have [31:47] to impose consequences [31:49] on people that have defrauded [31:51] the American government [31:52] and we've been saying [31:53] that we're doing this [31:53] to save these programs [31:55] from the fraud [31:55] that is bleeding them dry [31:57] that will make them unavailable [31:58] in the future [31:59] for future generations [32:00] to protect the investment, [32:02] the trillions of dollars [32:03] of investment [32:04] that every American taxpayer [32:06] makes every single year [32:07] to help their friends, [32:08] their neighbors, [32:09] and strangers [32:10] in times of need. [32:11] But I also, like Dr. Oz, [32:13] I want to talk about [32:13] the real human toll [32:15] of this for a minute. [32:16] I want to talk about [32:16] skin substitutes [32:17] or allografts. [32:19] Five years ago, [32:20] Medicare was paying out [32:21] less than a billion dollars [32:22] every year in allografts [32:24] and skin substitutes. [32:26] By 2025, [32:27] almost 15 billion dollars. [32:30] These programs [32:30] were riddled with fraud [32:32] and yes, [32:33] that's a problem [32:33] because it takes money [32:34] out of all of our pockets [32:36] and puts it into the hands [32:37] of the worst people [32:38] on the planet. [32:39] But this doesn't just [32:40] affect all of us. [32:41] These frauds affect [32:42] individual American citizens [32:44] in horrifying ways. [32:46] We saw this, for example, [32:47] in Minnesota [32:48] where a program designed [32:49] to protect veterans [32:50] from homelessness [32:51] was so attacked [32:52] by fraudsters [32:53] and they had to shut [32:54] the thing down [32:54] because they couldn't [32:55] afford it anymore. [32:56] I want to talk about [32:57] a particular case [32:58] that the department [32:59] has indicted today [33:00] out of the District of Nevada [33:01] where a nurse practitioner [33:03] is accused [33:04] of having bilked Medicaid [33:06] for almost a billion dollars [33:08] in skin substitute allografts. [33:10] But this isn't just filing [33:12] fake claims [33:13] and trying to take money [33:14] out of our pockets. [33:16] She was performing [33:17] these skin substitute procedures [33:18] on vulnerable elderly Americans [33:21] in hospices [33:22] and in nursing homes [33:24] and then submitting [33:25] those claims. [33:26] She was using human beings, [33:28] American citizens, [33:29] as living piggy banks [33:30] and that she took the money [33:32] she got from those [33:32] living piggy banks [33:33] and she bought [33:34] $865,000 necklaces [33:37] that the department seized. [33:38] She bought [33:39] an almost half-million dollar Ferrari [33:42] that the department [33:42] also seized. [33:44] We've heard a lot [33:44] about the numbers today. [33:45] We've heard how many records [33:47] have been broken [33:47] by the Department of Justices [33:48] and HHS's incredible efforts today. [33:51] But the numbers [33:52] shouldn't be treated [33:53] as an abstraction. [33:54] This doesn't just affect [33:55] the whole country's taxpayers. [33:57] Real human beings, [33:59] American citizens, [34:00] are physically maimed [34:01] because of this fraud. [34:03] So shutting down this fraud, [34:05] killing these incentives [34:06] for people to commit fraud, [34:07] putting people in jail [34:08] to commit these frauds, [34:09] aren't just about [34:10] protecting the FISC. [34:11] They're not just about [34:12] protecting the program. [34:13] They are about protecting [34:14] our fellow American citizens [34:15] from the worst of us. [34:17] That is why this is so important. [34:19] That's why the vice president [34:20] assembled this task force [34:22] at the president's direction. [34:23] And this is the result. [34:25] The entire federal government [34:26] deploying all of its resources [34:28] at home and abroad [34:29] to end the fraud [34:30] and to protect American citizens. [34:33] And so with that, [34:34] I'm going to turn it over [34:34] to DEA Administrator Terry Cole. [34:46] Thank you. [34:46] And Mr. Attorney General, [34:47] good morning, sir. [34:49] We stand here today [34:50] united to share the commitment [34:52] to protect Americans [34:53] and save American lives. [34:55] It's been said, [34:56] but bears repeating, [34:58] health care fraud [34:59] is not just a financial crime. [35:02] It's a public safety threat, [35:04] a public health threat, [35:06] and a direct threat [35:07] to the trust, [35:09] the Americans place, [35:10] and our health care system. [35:12] Let me be clear. [35:14] Medical providers [35:15] who fuel addiction, [35:18] endanger lives, [35:19] and profit from pain [35:20] they cause [35:21] are no different [35:22] than any other drug trafficker. [35:26] DEA occupies [35:27] a unique place in this fight. [35:28] We sit at the intersection [35:30] of health care, [35:32] regulation, [35:33] and law enforcement. [35:35] Our job is to protect [35:36] the controlled substance [35:37] supply chain [35:38] and stop those [35:40] who seek to exploit it. [35:43] The CSA created [35:44] a closed system [35:45] of distribution, [35:47] one designed [35:48] to keep medications [35:49] available for legitimate care [35:51] while preventing diversion [35:53] and abuse. [35:54] Every link in that chain [35:56] has a responsibility [35:57] to protect patients [35:59] and to preserve trust [36:01] in the system. [36:04] Being a DEA registrant [36:05] is not just a privilege. [36:08] It is a responsibility. [36:11] It is a promise [36:12] to patients [36:13] that medical decisions [36:15] will be based [36:16] on clinical judgment, [36:19] not financial gain. [36:21] While the vast majority [36:22] of health care professionals [36:23] honor that promise, [36:26] criminals have found ways [36:27] to exploit the system [36:28] for personal gain. [36:30] As both a law enforcement [36:32] and regulatory agency, [36:35] DEA sees things [36:36] others don't. [36:38] We connect the dots [36:39] between drug diversion, [36:42] fraud, [36:43] and criminal activity. [36:45] And when we find [36:46] those abusing positions [36:47] of trust, [36:49] we act. [36:50] We use every authority [36:51] available, [36:53] criminal, [36:54] civil, [36:55] and administrative, [36:56] to protect patients [36:57] and preserve trust [37:00] in our nation's [37:01] health care system. [37:02] In this takedown alone, [37:04] DEA developed 18 criminal [37:06] and civil cases [37:08] in coordination [37:09] with U.S. attorneys' offices [37:11] and issued a record [37:12] 928 administrative actions [37:16] to prevent future harm. [37:19] This includes [37:20] 205 orders to show cause, [37:23] 53 immediate suspensions, [37:26] and 642 surrenders [37:28] for cause. [37:30] In one case, [37:31] we worked with our partners. [37:33] We uncovered $36 million [37:34] in Medicaid fraud, [37:37] resulting in the seizure [37:38] of $15 million [37:39] in U.S. currency, [37:42] six aircrafts [37:43] from a single physician. [37:46] In another case, [37:46] we identified a pillar [37:47] of a pill mill, [37:50] clinics operating, [37:52] that we're issuing [37:53] more than 2 million [37:55] oxycodone prescriptions [37:56] and over 900,000 [37:59] hydrocodone prescriptions. [38:01] Each scheme chips away [38:03] at the safeguards [38:04] put into place [38:05] to ensure every patient [38:07] gets the medication [38:08] they need safely [38:10] and lawfully. [38:13] Americans should never [38:14] have to wonder [38:14] whether a prescription [38:15] was written [38:17] because it was needed [38:18] or because someone [38:20] saw an opportunity [38:21] to profit. [38:23] Our message [38:24] to any medical provider [38:25] who abuses that trust [38:26] is simple. [38:28] If you choose [38:28] personal greed [38:29] over professional responsibility, [38:33] DEA will hold you accountable. [38:36] DEA has been entrusted [38:37] to save American lives. [38:39] We will not stand idle [38:40] while criminals exploit patients, [38:43] abuse positions of trust, [38:46] and put profit over people. [38:50] Thank you. [38:51] And now I'd like to welcome [38:53] HSI Matt Mulholland. [39:02] Good morning. [39:03] My name is Matthew Mulholland. [39:04] I'm the Acting Deputy [39:05] Executive Associate Director [39:07] of Homeland Security Investigations, [39:09] the principal arm, [39:10] investigative arm, [39:11] of the Department [39:12] of Homeland Security. [39:13] Today's announcement [39:15] marks a pivotal moment [39:16] in our nation's ongoing fight [39:17] against health care fraud, [39:19] a crime that steals [39:20] from American taxpayers. [39:22] It puts vulnerable patients [39:23] at risk. [39:25] As part of the Department [39:26] of Homeland Security, [39:27] HSI is proud to stand [39:29] alongside our partners [39:30] in this historic effort. [39:32] HSI's mission is clear, [39:34] to safeguard the American public [39:36] and economy [39:36] from criminal organizations [39:38] and individuals [39:39] who seek to exploit [39:41] our benefits system [39:42] for personal gain. [39:45] Health care fraud [39:45] undermines trust [39:46] in our health care system [39:47] and diverts resources [39:49] from those who need them most. [39:52] This year's national health care [39:53] fraud takedown [39:54] is the largest in history, [39:56] with 455 defendants charged [39:58] across 45 states [40:00] and territories [40:00] and more than 6.5 billion [40:03] in alleged fraud uncovered. [40:06] HSI plays a critical role [40:08] in investigating [40:08] the transnational criminal networks [40:10] behind this fraud, [40:12] identifying and apprehending [40:13] fugitives overseas [40:14] and disrupting schemes [40:16] that span across borders. [40:17] Our special agents, [40:20] working closely [40:20] with the Department of Justice, [40:22] HHS, the FBI, [40:24] the DEA, [40:26] our local and state [40:27] and international partners, [40:29] demonstrated [40:29] extraordinary dedication [40:32] and expertise, [40:34] using advanced data analytics [40:35] and financial intelligence [40:36] to follow money, [40:38] seize assets, [40:39] and ensure accountability [40:40] at every level. [40:42] Their commitment, [40:43] collaboration, [40:44] and innovation [40:45] have made today's results possible. [40:47] Together, we've shown [40:49] that no criminal, [40:51] no matter how sophisticated [40:52] or well-hidden, [40:53] can evade the reach [40:55] of the U.S. government. [40:57] HSI remains steadfast [40:58] in its commitment [40:59] to protecting the American people, [41:01] defending the integrity [41:02] of our nation's [41:03] financial infrastructure, [41:04] and ensuring that those [41:06] who abuse it [41:06] are held accountable. [41:09] Today's actions [41:09] send a powerful message. [41:11] If you target [41:12] our health care programs, [41:14] you will be found, [41:15] you will be prosecuted, [41:17] and you will be brought [41:18] to justice. [41:19] Thank you. [41:19] All right. [41:25] Thanks, everybody. [41:26] We'll take a couple [41:27] of questions [41:27] on what we're here for today. [41:29] If you want to hear [41:30] from somebody [41:30] in particular on stage, [41:31] just feel free [41:32] to lead with that. [41:33] Any questions? [41:35] Alex? [41:36] Yeah. [41:36] Last year's announcement, [41:38] it was $14.6 billion [41:40] of intended fraud loss. [41:42] This year, [41:42] he said $6.5 billion. [41:44] I'm wondering, [41:44] can you explain [41:45] the discrepancy there? [41:46] Is this a result [41:47] of fewer prosecutions, [41:48] less money, [41:49] or is this Dr. Oz mentioned [41:50] the idea that you guys [41:52] are catching this [41:53] before the money [41:53] goes out the door? [41:54] Or is that having an impact? [41:57] Look, I think it's [41:58] a combination [41:58] of everything you just said. [42:00] It's a combination. [42:01] There were a couple [42:02] of cases last year [42:03] that made that number [42:04] that high. [42:05] And so we said this year, [42:08] we have been doing [42:09] an extraordinary amount [42:10] of work. [42:11] And when I say we, [42:12] I'm not saying [42:12] the Department of Justice. [42:13] I'm saying everybody [42:14] on this stage [42:15] and the folks in the back. [42:16] And part of that work [42:17] includes turning off [42:18] the spigot. [42:19] That's right. [42:19] And so it includes [42:20] more detection early on [42:22] that stops the claims [42:23] from even going anywhere [42:25] near a payment [42:26] being issued. [42:26] And that's part [42:27] of the reason. [42:28] And so, yeah, [42:29] we had a great year [42:29] last year, too, [42:30] when it comes [42:31] to combating fraud. [42:32] If you are [42:33] an American taxpayer, [42:35] you should be [42:36] extraordinarily happy [42:37] with what you see [42:38] on the stage right now. [42:38] Not only because [42:39] of what we're talking [42:40] about today, [42:40] but because of what [42:41] we were talking [42:41] about a year ago [42:43] when we had a similar day. [42:45] And I expect [42:45] that you're going [42:46] to hear more from us [42:47] over the next several months [42:48] because this, [42:49] for the first time, [42:50] at least in modern history, [42:51] everybody is working together. [42:53] And we talked [42:54] about state AGs. [42:55] We're talking [42:55] about Republicans, [42:57] Democrats. [42:57] We're talking [42:58] about New York. [42:59] We're talking [42:59] about Florida. [43:00] This is a chronic problem [43:02] that was actually [43:03] hurting so many people, [43:06] not only financially, [43:07] but thievery, [43:08] but also hurting, [43:09] hurting, [43:09] like you heard today, [43:09] the stories. [43:10] So, look, I'm not, [43:11] I think we had [43:13] a great year last year. [43:14] We had a phenomenal year [43:15] this year, [43:16] and I expect [43:16] there'll be more [43:17] happening over the next, [43:18] over the next year, [43:19] the rest of the year. [43:20] And then just topics, [43:21] if I could. [43:22] No off topics. [43:24] Next question. [43:25] And we've got [43:26] a lot of people here [43:27] for this reason. [43:28] So, we've got [43:29] a lot of people here [43:29] for this reason [43:30] and they've given up [43:31] their time. [43:31] So, next question. [43:33] Yes. [43:34] He gets to ask his question [43:35] on the topic [43:36] that he chooses [43:36] when I hear his spectators. [43:38] Are states, [43:40] with both Democratic [43:41] and Republican leaders, [43:42] working with federal [43:43] authorities to identify [43:44] these cases [43:45] or investigate [43:47] and provide facts? [43:48] I don't think, [43:50] Colin, [43:50] you want to handle that? [43:54] Yes. [43:54] Thank you for the question. [43:55] And just to clarify, [43:57] last year, [43:57] which was a great result [43:58] by our department, [43:59] there were 324 defendants [44:01] that were charged [44:03] in last year's takedown. [44:04] Today, [44:05] 455 in the last 14 days [44:08] have been charged [44:10] with fraud offenses. [44:12] And to your question [44:13] about the state [44:14] participation we have, [44:15] last year, [44:16] I believe there were [44:16] 13 states [44:17] that participated with us [44:19] in our takedown. [44:20] And this year, [44:21] we are in the high 40s [44:23] of those who have come [44:24] to the table [44:25] to add their resources [44:26] to come work with us [44:28] because this truly [44:28] is a national problem [44:30] that demands [44:31] a national response. [44:32] And that's really driven [44:33] by the White House [44:34] Fraud Task Force, [44:36] which is bringing [44:37] everybody together [44:38] to say, [44:39] hey, [44:39] if we don't solve it, [44:40] no one will. [44:42] And folks are coming [44:43] to the table [44:44] to ensure [44:45] that we do this work [44:46] against the fraudsters [44:47] better than we've ever [44:48] done it before. [44:51] In the case involving [44:53] the basketball player [44:54] who died in 90 million, [44:55] Dr. Oz, [44:55] you were highlighting that. [44:57] Was that resolved [44:58] and solved through [44:58] sort of old-fashioned [44:59] law enforcement work [45:00] or were there techniques [45:01] and tools [45:02] that the Justice Department [45:03] or other agencies [45:04] employed that resulted [45:06] in that 89 million dollar [45:08] fraud being detected? [45:09] There was boots [45:09] on the ground. [45:11] Individuals went, [45:11] they got the records, [45:12] they could tell [45:13] how many seconds [45:14] transpired between [45:15] when the actual EKG [45:17] was sent to the doctor [45:18] in question [45:18] and when the readout [45:20] was delivered, [45:21] so saying that it was normal. [45:23] And again, [45:23] I'll speak as a heart physician. [45:24] There's no way [45:24] you could miss this diagnosis. [45:26] This child's heart [45:27] on autopsy was massive. [45:29] And if it's two and a half times [45:30] bigger than your fist, [45:31] it looks like that. [45:32] And the child had [45:34] echocardiogram and EKG. [45:36] He also had Doppler's [45:36] of his carotids and groins. [45:38] And this doctor was practicing [45:40] in multiple states, [45:41] which is one of the things [45:41] doctors do to hide their path. [45:43] They can sneak around. [45:44] And the mom is in Florida. [45:46] And it's really tragic. [45:47] And I just want to highlight, [45:48] this is a dead child [45:50] is a dead child. [45:51] Red state, blue state, [45:52] it doesn't matter. [45:53] And that's why I think [45:54] so many states [45:55] are participating [45:55] because Medicaid [45:56] is a program [45:57] that is run by the states. [45:58] And having them all on board, [45:59] I think, [45:59] is a reinforcing element [46:01] to the White House [46:01] Anti-Fraud Task Force. [46:05] Are you getting cooperation [46:07] from the health care corporations [46:08] in terms of detecting this fraud? [46:11] What's your relationship [46:12] with the health care corporations? [46:13] Are these one-offs [46:14] that are just individuals [46:16] that are kind of, you know, [46:19] sneaking through the, [46:20] getting around the controls? [46:24] Or are the companies [46:25] helping to detect this fraud? [46:28] That's a good question. [46:28] Who's the best to answer that? [46:29] Do you want to call? [46:30] Yes, we have great working relationships [46:34] with health care corporations [46:36] who are required [46:39] to be alert to instances [46:42] of fraud across their programs. [46:44] and we collaborate with them [46:47] to make sure [46:47] that we can illuminate fraudsters [46:49] across the health care fraud, [46:50] our health care portfolio. [46:52] And we encourage [46:53] every health care corporation [46:55] to come work with us [46:57] to root out those [46:58] who are seeking [46:59] to defraud the American people [47:01] by exploiting [47:02] our health care programs. [47:03] Will you take [47:04] one off-topic question? [47:05] No. [47:07] You've got to take [47:07] an off-topic question. [47:08] Any other questions? [47:09] All right. [47:11] Thanks, everybody, for coming. [47:12] We appreciate it. [47:13] Thank you very much.