Medicare’s Program Integrity Transformation

Medicare has been considered a “High Risk program” by the Government Accountability Office since 1990 due to its size, complexity and susceptibility to improper payments. In 2018, improper payments accounted for 5% of the total $616.8 million of Medicare’s net costs.

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Waste Accounts for 25% of Health Care Spending. Addressing Fraud and Abuse Can Help.

It already hurts to hear that the United States spends more on health care than any other country, with costs approaching 18% of the gross domestic product and more than $10,000 per individual.

A report published last week in The Journal of the American Medical Association makes those numbers even more painful as it reveals the estimated cost of waste in the United States ranges from $760 billion to $935 billion, accounting for approximately 25% of total health care spending. This amount exceeds national military spending, as well as total primary and secondary education spending.

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