HHS Watchdog Reports $5.56 Billion in Projected Recoveries and Savings
A six-month federal health-care enforcement report cited $5.56 billion in expected recoveries and projected savings, 1,212 exclusions and major Medicare Advantage settlements.
Medicare Advantage
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GAO Says VA Community Care and Medicare Advantage Need Stronger Payment Controls
A new Government Accountability Office report says the Department of Veterans Affairs and Medicare Advantage need additional steps to reduce improper-payment and fraud risks.
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GAO Flags Unfinished Fraud Controls in Medicare and VA Payments
A July GAO review found $23.7 billion in Medicare Advantage payment errors and $608 million in VA Community Care improper or unknown payments.
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GAO: Fraud-risk and improper-payment gaps persist in VA Community Care, Medicare Advantage
GAO says VA Community Care and Medicare Advantage still lack comprehensive fraud-risk assessments and controls, leaving FY2025 improper-payment estimates exposed.