DOJ Files Four Major Healthcare Fraud Cases Totaling Over $1B in a Single Day

The Department of Justice on April 8, 2026, filed four major healthcare fraud cases totaling more than $1 billion in alleged misconduct, representing one of the most concentrated single-day enforcement actions in recent memory. The cases include a $500 million COVID-19 healthcare fraud recovery, a $270 million California Medi-Cal fraud scheme involving Paul Randall, a $160 million ACA enrollment fraud settlement, and a $100 million Nevada COVID tax fraud case.

Randall, 66, of Orange, California, pleaded guilty to submitting nearly $270 million in fraudulent claims to California's Medicaid program over an 11-month period for expensive prescription drugs that were medically unnecessary and often not provided. The Nevada woman received 54 months in prison for her role in the COVID fraud scheme. DOJ characterized the coordinated timing as demonstrating sustained focus on pandemic-era program abuse.

Healthcare providers, billing companies, and anyone submitting claims to federal healthcare programs face heightened scrutiny as prosecutors deploy data analytics to identify billing anomalies across COVID relief, Medicaid, and ACA marketplace programs.