The annual Healthcare Fraud & Abuse Review covers significant civil and criminal enforcement issues for healthcare providers, key enforcement initiatives, important case developments and documented fraud settlements
NASHVILLE, Tenn., Feb. 17, 2026 /PRNewswire-PRWeb/ -- Bass, Berry & Sims is pleased to announce the release of the 14th Annual Healthcare Fraud & Abuse Review examining important healthcare fraud developments from 2025. Compiled by the firm's Healthcare Fraud & Abuse Task Force, the Review provides a comprehensive analysis of enforcement developments affecting the healthcare industry, significant False Claims Act court decisions, and an overview of settlements involving healthcare fraud and abuse issues.
From an enforcement perspective, the challenges facing the healthcare industry are significant, and it is more important than ever for those in the industry to stay on top of developments that undoubtedly will impact the manner in which the government pursues healthcare fraud investigations and the key issues in the related civil and criminal litigation.
Despite the change in administration and leadership at key federal posts, the government's strong commitment to enforcement aimed at the healthcare industry has remained consistent. The release of the Review follows the recent announcement of the Department of Justice's (DOJ) record-setting civil enforcement results of $6.9 billion for FY 2025. After several years in which recoveries involving the healthcare industry lagged, last year's recoveries involving that industry hit an all-time high of more than $5.7 billion—more than 83% of total recoveries.
Beyond the dollars, the Review reflects that whistleblower activity and government-initiated enforcement actions concerning the healthcare industry remained robust. DOJ announced that a staggering 1,297 qui tam lawsuits were filed during FY 2025, with 458 of those lawsuits involving the healthcare industry—up significantly from the 370 such lawsuits filed the year before. DOJ also announced 183 government-initiated enforcement actions involving the healthcare industry—more than a 100% increase in such actions from the prior year.
In addition to covering enforcement results, the Review also provides in depth coverage of key legal developments concerning the False Claims Act, the Anti-Kickback Statute, and the Stark Law, as well as areas of likely government enforcement focus, such as managed care, medical necessity, controlled substances/opioids, and cybersecurity.
To read more about these and other fraud enforcement trends: Download the Review here; visit the Bass, Berry & Sims Healthcare Fraud & Abuse Resource Center, which features a database of more than 2,200 healthcare fraud settlements from the past 13 years; and subscribe to the Inside the False Claims Act blog.
Bass, Berry & Sims will host a complimentary webinar on Tuesday, February 24, which will provide an overview and discussion of key focus areas covered in the Review. Details and registration information for the webinar can be found here.
About the Bass, Berry & Sims Healthcare Industry Practice
Bass, Berry & Sims has one of the nation's largest and most sophisticated healthcare practices. Marked by an integrated approach and unmatched regulatory knowledge, the healthcare practice of Bass, Berry & Sims is a team of more than 300 experienced attorneys who leverage their diverse strengths to meet the unique demands of our clients. Recently recognized by Law360 as a Healthcare Practice Groups of the Year, the firm serves as regulatory counsel to 35 publicly traded healthcare companies and more than 200 healthcare businesses nationwide. Over the past decade, we have advised on $137 billion in healthcare transactions and $52 billion in debt and equity offerings, representing investors, lenders, and strategic buyers in transformative deals, and we have represented countless companies in all sectors of the healthcare industry in government investigations and related civil and criminal matters.
About Bass, Berry & Sims PLC
Bass, Berry & Sims is an independent, nationally recognized law firm dedicated to helping clients go confidently through complex legal challenges. We deliver high-caliber counsel and exceptional service to leading middle market companies across industry sectors, with particular focus in the healthcare and private equity industries. For over a century, our team has partnered with clients across the country on sophisticated transactions, significant litigation and investigations, and international regulatory matters. We collaborate seamlessly with deep experience across practice areas, industries, and geographies to provide innovative, business-focused solutions that create measurable value. For more information, visit www.bassberry.com.
Media Contact
Erin Ihde – Senior Marketing Manager, Communications, Bass, Berry & Sims PLC, 1 (615) 259-6736, [email protected], https://www.bassberry.com/
SOURCE Bass, Berry & Sims PLC
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