Tuesday, December 16, 2025

Deputy Administrator and Director, CMS Center for Program Integrity Statement on Fraud in Medicare

“… Through the work of CPI, we’re focusing on making sure CMS is paying the right provider the right amount for the right services.  This Administration has instituted many program improvements, and CMS is continuously looking for ways to refine and improve our program integrity activities. In addition to CMS’s ongoing program integrity efforts, the President’s Fiscal Year (FY) 2019 Budget reflects the Administration’s commitment to strong program integrity initiatives. The Budget includes 17 legislative proposals that provide additional tools to further enhance program integrity efforts in the Medicare and Medicaid programs…”

“CMS is taking a number of steps to reduce fraud, waste, and abuse and lower the improper payment rate across our programs. To inform our efforts, we rely on input from stakeholders, such as Congress, providers, patients, and law enforcement, as well as the work done by the Government Accountability Office (GAO) and HHS-OIG. For example, following the GAO’s Fraud Risk Framework1, CMS has begun to initiate the GAO fraud risk assessment for some programs in Medicare…” Read the full statement here.

Source: Deputy Administrator and Director, CMS Center for Program Integrity Statement on Fraud in Medicare before the House Ways and Means Committee – July 17, 2018. Waysandmeans.gov.

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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