Congress Investigates Medicare and Medicaid Fraud
Congress Investigates Medicare and Medicaid Fraud
Medicare and Medicaid are critical health programs covering over 140 million Americans, but their massive scale makes them prime targets for criminal fraud.
The Government Accountability Office has flagged these programs as high-risk, noting that fraud, waste, and abuse cost taxpayers over $100 billion annually.
Congressional committees like the House Energy and Commerce Committee frequently investigate these issues to ensure fiscal responsibility and patient safety.
Fraudulent schemes range from identity theft to billing for services never performed, such as phantom equipment or unnecessary therapy sessions.
These criminal networks often find healthcare fraud more lucrative than the illicit drug trade.
To combat this, Congress holds hearings and works with the Department of Justice to recover funds through the False Claims Act.
Improving data infrastructure and implementing strict risk-based screening are essential steps to protect the long-term solvency of these vital programs.
