The Trump administration and the U.S. Department of Justice are launching a strike force office in Philadelphia to investigate health care fraud across Pennsylvania. The new office will focus on individuals and businesses suspected of defrauding Medicaid, a public health insurance program funded by federal and state dollars. Federal and state leaders announced new criminal charges against 19 people accused of defrauding Medicaid of over $4 million through home health care schemes. The focus follows similar actions in California and Minnesota where federal officials have deferred at least $1 billion in Medicaid payments for suspected fraud. The increased scrutiny of Medicaid and Medicare claims is part of the administration's larger campaign against waste, fraud and abuse in government spending.