The Centers for Medicare and Medicaid Services says its prevention-first approach to healthcare fraud saved Medicare a record $42 billion in fiscal year 2025, nearly 60% more than the previous year. Nearly 70% of the savings came from preventing fraudulent or improper payments before they were made, generating more than $22 in savings for every dollar spent on program integrity. The agency also suspended hundreds of high-risk providers, coordinated nationwide Medicaid provider revalidation and referred 372 suspected fraud cases involving $3.7 billion in billing to federal law enforcement.
#medicare #fraud #droz
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