JD Vance stood at a White House podium Wednesday and did a visible double take on national television.
Doctor Oz had just handed him a number.
Vance repeated it out loud to make sure he heard it right – and what Oz told him next should make every Medicare-paying American want to know where their money went.
780 Caught Fraudsters Didn't Even Bother to Fight Back
Vance was standing beside CMS Administrator Dr. Mehmet Oz at a White House anti-fraud event when the number landed.
"You're saying that we kicked off 800 fraudulent healthcare providers off of the Medicare system and not a single one called the government and said, 'Hey, you made a mistake?'" Vance asked.
Oz clarified there had been fewer than 20 calls – and those are still under audit.
That means at least 780 providers – who collectively billed Medicare $1.4 billion last year – didn't even try to defend themselves.
Vance's response said everything: "It's just completely insane. It drives home the scale and scope of the problem."
He's right.
When a legitimate business gets wrongly accused and loses its government contracts, it fights.
It hires lawyers.
It calls senators.
It sends letters.
These 780 didn't do any of that – because there's nothing to fight for.
You don't call back when silence protects you better than a defense would.
That silence isn't a curiosity.
It's a confession.
https://x.com/AndrewKolvet/status/2054636241753124968“>https://x.com/AndrewKolvet/status/2054636241753124968
The Epicenter Is a Four-Block Stretch in Los Angeles
Oz has spent months documenting what he calls the worst hospice fraud concentration in America.
In the Van Nuys neighborhood of Los Angeles, there are 42 hospices within a four-block radius.
One commercial building – no signage, no visible patients – housed licenses for 112 separate hospice agencies.
Oz drove through the area on camera and laid it out plainly: "Either there are a lot of people dying here, or you've got fraudulent activity that is so good that everyone wants to get in on it."
State auditors found 210 hospice agencies within a single square mile of that same neighborhood.
Fox News visited the addresses and found empty buildings, strip malls, nail salons, and burrito stands.
Los Angeles County alone accounts for roughly 18% of all national home health and hospice Medicare billing.
Half the country's patients aren't dying in Van Nuys.
The money is going somewhere else entirely.
What Democrats Let Fester for Years
This isn't a new problem – it's a neglected one.
Medicare loses an estimated $60 billion to fraud every year, and Biden let that number run for four straight years without breaking a sweat.
The 2025 DOJ National Health Care Fraud Takedown – the largest in American history – charged 324 defendants in schemes totaling $14.6 billion in intended losses.
That number more than doubled the prior record of $6 billion set during Trump's first term in 2020.
During the Biden years, the 2024 takedown charged 193 defendants for $2.5 billion.
The 2023 takedown charged 78 defendants for $2.5 billion.
Same playbook, a fraction of the effort – while $60 billion walked out the door every single year.
Gavin Newsom's California just received a $1.3 billion Medicaid payment deferral.
Tim Walz's Minnesota had $243 million deferred earlier this year.
Vance made the stakes plain: "We can't protect Medicaid and Medicare if the states administering those programs are allowing them to be fleeced by fraudsters."
Newsom's response was to file a civil rights complaint against Dr. Oz.
That tells you everything you need to know about his priorities.
The Silence Tells You Exactly Who These People Were
Think about what it takes to stay quiet when the federal government cancels your business.
Any legitimate provider – a real hospice, a real home health agency – would have lawyers on the phone within hours.
They'd have patient records, billing documentation, staff rosters.
They'd be screaming from every rooftop that CMS made a mistake.
These 780 had none of that – because their businesses existed only on paper.
Ghost networks billing for patients they never saw.
Shell companies created, milked, and dissolved before investigators arrived.
Operators who shut down and reopened under new names after collecting payments.
Trump's CMS pulled the plug and heard nothing but silence – and that silence just confirmed every suspicion Oz had about where $1.4 billion in your tax dollars actually went.
Biden's administration watched it happen for four years.
The fraudsters stayed quiet then too.
Sources:
- Dr. Mehmet Oz / @DrOzCMS, CMS Press Release, "CMS Announces Aggressive Nationwide Crackdown on Fraud with Six-Month Hospice and Home Health Agency Enrollment Moratoria," CMS.gov, May 13, 2026.
- Andrew Kolvet, @AndrewKolvet, X (Twitter), May 13, 2026.
- "Trump Administration Defers $1.3 Billion in Medicaid Payments to California Amid Fraud Investigation," CNN Politics, May 13, 2026.
- "Los Angeles Hospice Fraud Reaches Billions as Medicare Providers Scam Federal System with Fake Companies," Fox News, January 30, 2026.
- "National Health Care Fraud Takedown Results in 324 Defendants Charged in Connection with Over $14.6 Billion in Alleged Fraud," U.S. Department of Justice, June 30, 2025.
- "The First National Health Care Fraud Takedown of the Second Trump Administration: What Stayed the Same and What Is New?" Epstein Becker Green / Health Law Advisor, July 15, 2025.










