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  • Medicaid Fraud Control Units Fiscal Year 2023 Annual Report
    Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect The Department of Health and Human Services Office of Inspector General (OIG) is the designated Federal agency that oversees and annually recertifies and approves Federal funding for each MFCU
  • The Truth about Waste and Abuse in Medicaid
    The thinking goes: there’s so much waste, fraud, and abuse in the program that states can easily absorb the loss of over a quarter of their federal Medicaid matching payments simply by improving their management and cutting out the “fat ” This premise is false, and the thinking is dangerously wrong
  • How Medicare and Medicaid fraud became a $100B problem for the U. S.
    Medicare and Medicaid programs are being brazenly targeted by sophisticated criminals Estimated annual fraud tops $100 billion, but investigators say it's likely much higher A convicted
  • Explaining Waste, Fraud, and Abuse in Medicaid
    In today’s newsletter, I explain why there is so much waste, fraud, and abuse in Medicaid and how policymakers can take steps to reduce it Paragon has created a two-minute video to explain provider taxes, a central reason for the large amount of wasteful spending in the program
  • The War of Words Over Medicaid Cuts - FactCheck. org
    There’s about $50 billion estimated that are lost every year in Medicaid just in fraud alone Trump, Feb 26, Cabinet meeting : We’re not going to touch it [Medicaid, Medicare or Social
  • STATISTICAL SURVEY STATE MEDICAID FRAUD CONTROL UNITS
    The Association represents the 53 Medicaid Fraud Control Units that investigate and prosecute Medicaid provider fraud and fraud in the administration of the Medicaid program The Units are also responsible for protecting the most vulnerable of our population, those who reside in healthcare facilities, from abuse and neglect
  • Is there really a “fraud crisis” in Medicaid? - Insurance News . . .
    One of the most commonly cited figures in this debate is the Medicaid improper payment rate, reported annually by the Centers for Medicare Medicaid Services (CMS) By definition, improper
  • How Fraud and Waste Harm Medicaid | California Insider
    In 2024, Medicaid made improper payments totaling more than $31 billion dollars, the Department of Health and Human Services reported Most of those payments resulted from clerical errors However, improper payments include all types of erroneous payments, including fraud, abusive billing, and waste
  • Let’s Take a Look at Fraud Against State Medicaid Programs
    This article estimated that fraud and abuse cost Medicare and Medicaid as much as $98 billion in 2011, and overtreatment—defined as “care that cannot possibly help” patients—cost up to $87 billion
  • 2022 Medicaid Fraud Control Unit Data Shows Continued Focus On Fraud . . .
    The Department of Health and Human Services’ Office of Inspector General (OIG) reported that in the fiscal year ending Sept 30, 2022, the 53 Medicaid Fraud Control Units (MFCUs) recovered more





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