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Report: 2025 Analysis of Penalties for Hiring Excluded People
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Penalties for exclusion violations have soared in 2025. “Screening Failures and Their Financial Fallout in 2025” provides a deep analysis into the underlying data to help providers understand the risk and avoid being the next target or headline.
– Paul Weidenfeld, former National Healthcare Fraud Coordinator for the Department of Justice
Designed to support screening risk assessments and internal decision-making
In 2025, thirty-five healthcare businesses paid over $26M in penalties and settlements related to employing or contracting with individuals excluded from federal health programs. We expect this trend to continue or accelerate.
This report analyzes the data behind the 2025 surge and provides actionable strategies to help leaders protect their organizations in 2026.
Frequently Asked Questions
This analysis is based on a comprehensive five-year dataset (2020–2025) of Civil Monetary Penalty (CMP) settlements and Office of Inspector General (OIG) enforcement actions. You can access the historical index of settlements and penalties from OIG investigations and self-disclosed violations. It aggregates real-world settlement data to track the surge in penalties, which rose from $4.2 million in 2024 to over $26 million in 2025, affecting thirty-five distinct healthcare businesses.
Yes. The 2025 data confirms that “flying under the radar” is a dangerous misconception. While large systems faced multi-million dollar fines, the OIG also levied six-figure penalties against small independent pharmacies, home health agencies, and medical practices.
Yes, this report and a consultation with our certified compliance officers are provided at no cost. Our goal is to help you avoid regulatory fines and enforce compliance. We offer these resources to demonstrate how a proactive screening program functions as an investment that protects your organization against escalating enforcement trends.
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