Washington Health Policy Week in Review

Commonwealthfund: June 30, 2014


Washington Health Policy Week in Review is a weekly newsletter that offers selected stories from the daily newsletter CQ HealthBeat.


June 24, 2014 — Medicare officials recovered about $19.2 billion in fraudulent payments over the past five years, including $210 million through a new system that tries to predict and stop fraud before it occurs, according to a federal report issued Wednesday. But the recovered sum is dwarfed by the size of the problem: Medicare makes up to $50 billion per year in improper payments, including fraud, a Government Accountability Office (GAO) official testified at a House hearing.

The Centers for Medicare and Medicaid Services (CMS) needs to do more to curb fraud and wasteful spending, according to GAO Director of Health Care Kathleen M. King, who appeared before the House Energy and Commerce Subcommittee on Oversight and Investigations hearing.

CMS “has made progress in implementing several key strategies GAO identified or recommended in prior work as helpful in protecting Medicare from fraud,” she said. “However, implementing other important actions that GAO recommended could help CMS and its program integrity contractors combat fraud.” Read More