The War on Fraud: Protecting Federal Benefits Programs Through Commercial Intelligence

Fraud targeting federal benefits programs has become increasingly sophisticated, costing taxpayers billions of dollars annually across Medicare, Medicaid, housing, and assistance programs. This intelligence brief explores how organized fraud networks use shell companies, nominee operators, phoenix companies, and exclusion circumvention tactics to exploit government systems. Through detailed case studies of transnational healthcare fraud, large-scale hospice fraud, and improper payments to excluded providers, the report highlights the limitations of traditional screening methods and the value of commercial intelligence. Learn how beneficial ownership analysis, network mapping, AI-enabled investigations, and cross-database screening can help agencies proactively identify risks, strengthen program integrity, and improve fraud detection at scale.