Medicaid And Medicare Fraud

Fraud and improper payments are conservatively estimated to be from 3% to 10% of all Medicaid spending – a significant portion of one of the largest, fastest-growing expenditures in US state budgets. Lacking a financial incentive for managed care organizations to combat fraud and improper payments, containing costs for traditional fee-for-service and managed care models is the only way to realize savings. By adopting a sound method to tackle fraud, states can also recover previously lost funds, prevent future improper payments, and significantly influence growing Medicaid and Medicare expenditures.