For years, the federal government has used a "pay first, chase later" approach to Medicare and Medicaid fraud. A "war room" is now functioning to coordinate the fight against them. They recently announced the largest health fraud action in US history, amounting to $14.6 billion in false Medicare claims. There are 324 defendants charged who used the stolen identities of more than 1 million Americans from all 50 states. The fraud involved billing for unused services, such as addiction treatment, and international money laundering through networks of fictitious owners. In one case, the CEO of DMERx was sentenced to 15 years in prison and fined $452 million for defrauding $1 billion through fraudulent prescriptions. In Los Angeles, they identified more than 1,000 potentially fraudulent hospice centers, often just as addresses for siphoning funds. dr. Oz, as administrator of CMS, is implementing changes, including a moratorium on Medicare enrollment for certain medical devices.[1][6][2]