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CMS is rolling out an enhanced and accelerated Medicare Advantage contract auditing strategy to catch any cases of fraud, waste or abuse that have been hiding in the program for far too long. We are actively reviewing claims to ensure the government is being accurately billed for Medicare patient... show more

DrOzCMS

22,385 subscribers

2,644,736 次观看 • 1 年前 •via X (Twitter)

健康养生新闻政治

Anya Rossi• Live Now

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11 条评论

WickedSmartOne 的头像

WickedSmartOne1 年前

Now pass something that says that my insurance company doesn't have the right to tell my doctor what and how to treat me! If the doctor prescribes something the insurance should cover it! It should be between me and my doctor would I take and don't take and what treatments I get!

SecBriefs | Making Cybersecurity Simple 的头像

SecBriefs | Making Cybersecurity Simple1 年前

🇺🇸 The Future of America is Digital—And So Are the Threats! 🔐 It’s time for a bold, national cybersecurity strategy. The new government must act fast. So must you. 🦅 🎯 Be part of the solution! Get the CYBERSECURITY DICTIONARY for Everyone, on Amazon:

PSmit20 的头像

PSmit201 年前

So much unnecessary treatments & pharmaceuticals being subscribed. Hospitals are also keeping patients a day or two extra to get extra $$$. Lots of opportunities to catch fraud, waste & abuse.

Narayanachar S Murali 的头像

Narayanachar S Murali1 年前

What are you going to do about "facilitated fraud" on taxpayers? 340B, PBMs playing with discounts, site of service differential? These need politicians to act

Bill Meyer 的头像

Bill Meyer1 年前

good news!!!!!

Barbara Reier 🇺🇸 的头像

Barbara Reier 🇺🇸1 年前

The Advanage Plans are a ripoff of the seniors and Medicare

Southern Gardener 的头像

Southern Gardener1 年前

They're stealing from seniors as well. Why did they increase prescription drug deductible to $350? All companies did it, drugs go generic and they keep charging top tier giving the break to Walmart.

Summertime 的头像

Summertime1 年前

Will this reduce our Medicare premiums?

Lance McNeill 的头像

Lance McNeill1 年前

I noticed all of a sudden I’m seeing less MA plan denials for our clinic. I wonder if it’s because they know they’re about to be audited and want to clean things up

Brian James 的头像

Brian James1 年前

Don’t forget to tell everyone how you are working behind the scenes to help remove 13.7 million Americans from Medicaid.

DE Booth 的头像

DE Booth1 年前

Thank you.

相关视频

CMS believes there’s about $100 billion in definable fraud, waste, and abuse across our country. If we can remove the fraud, waste, and abuse in Medicare, we will double the life expectancy of the Medicare trust fund.

CMS believes there’s about $100 billion in definable fraud, waste, and abuse across our country. If we can remove the fraud, waste, and abuse in Medicare, we will double the life expectancy of the Medicare trust fund.

DrOzCMS

53,177 次观看 • 2 个月前

Top Democrats all indirectly share their support for Elon Musk’s DOGE Nancy Pelosi “We must make the cuts of waste, fraud, and abuse in Medicare. We owe it to our country” Bernie Sanders “There is an enormous amount of waste and fraud and abuse in this government. When there is waste and fraud, you have an administration who should also by on top of that situation.” Chuck Schumer “If we're going to eliminate the waste, fraud, and abuse in Medicare, it does mean we're gonna cut some of that out. We wanna cut the bad stuff and keep the good stuff.”

Top Democrats all indirectly share their support for Elon Musk’s DOGE Nancy Pelosi “We must make the cuts of waste, fraud, and abuse in Medicare. We owe it to our country” Bernie Sanders “There is an enormous amount of waste and fraud and abuse in this government. When there is waste and fraud, you have an administration who should also by on top of that situation.” Chuck Schumer “If we're going to eliminate the waste, fraud, and abuse in Medicare, it does mean we're gonna cut some of that out. We wanna cut the bad stuff and keep the good stuff.”

Wall Street Apes

13,962,845 次观看 • 1 年前

Medicare Fraud Prevention Week is here! Help protect your Medicare benefits—and your identity—with these simple steps: ✅ Guard your Medicare and Social Security information ✅ Ignore offers of “free” services, gifts, or money in exchange for your information ✅ Review your statements for services or equipment you didn’t receive ✅ Report suspicious activity to 1-800-MEDICARE CMS is fighting back, too—saving $41.9 billion last year through fraud prevention efforts and stopping bad actors before taxpayer dollars are lost. Together, we can protect Medicare for generations to come.

Medicare Fraud Prevention Week is here! Help protect your Medicare benefits—and your identity—with these simple steps: ✅ Guard your Medicare and Social Security information ✅ Ignore offers of “free” services, gifts, or money in exchange for your information ✅ Review your statements for services or equipment you didn’t receive ✅ Report suspicious activity to 1-800-MEDICARE CMS is fighting back, too—saving $41.9 billion last year through fraud prevention efforts and stopping bad actors before taxpayer dollars are lost. Together, we can protect Medicare for generations to come.

DrOzCMS

10,486 次观看 • 20 天前

AOC: You are not aware that the Trump Department of Justice is investigating the largest insurance company in America for fraud of Medicare Advantage that you have jurisdiction over? If we're making decisions around waste fraud and abuse. This is the largest source of waste fraud and abuse of public dollars in the public insurance

AOC: You are not aware that the Trump Department of Justice is investigating the largest insurance company in America for fraud of Medicare Advantage that you have jurisdiction over? If we're making decisions around waste fraud and abuse. This is the largest source of waste fraud and abuse of public dollars in the public insurance

Acyn

304,001 次观看 • 1 年前

President-Elect Trump on Department of Government Efficiency: “Elon Musk has been working very hard with Vivek to eliminate hundreds of billions in waste and fraud.. We’re looking to save maybe $2T. It will have no impact on people’s livelihoods like Medicare or social security. Just waste, fraud, and abuse”

President-Elect Trump on Department of Government Efficiency: “Elon Musk has been working very hard with Vivek to eliminate hundreds of billions in waste and fraud.. We’re looking to save maybe $2T. It will have no impact on people’s livelihoods like Medicare or social security. Just waste, fraud, and abuse”

America

1,079,768 次观看 • 1 年前

CMS is continuing to CRUSH fraud, waste, and abuse! We’re taking action to prevent fraudulent billing from certain durable medical equipment suppliers AND asking for your input and ideas for how CMS can tackle fraud prevention. These actions will keep us two steps ahead of these criminals so we can preserve program integrity and protect taxpayer dollars!

CMS is continuing to CRUSH fraud, waste, and abuse! We’re taking action to prevent fraudulent billing from certain durable medical equipment suppliers AND asking for your input and ideas for how CMS can tackle fraud prevention. These actions will keep us two steps ahead of these criminals so we can preserve program integrity and protect taxpayer dollars!

DrOzCMS

19,922 次观看 • 3 个月前

Seniors pay into Medicare their whole lives, and we will cherish the program. CMS is cracking down on rampant durable medical equipment fraud in South Florida. More to come soon. If you see something, say something. Report potential fraud at:

Seniors pay into Medicare their whole lives, and we will cherish the program. CMS is cracking down on rampant durable medical equipment fraud in South Florida. More to come soon. If you see something, say something. Report potential fraud at:

DrOzCMS

151,101 次观看 • 4 个月前

Today, CMS notified Governor Walz and the state of Minnesota that we are deferring an additional $91 million in federal Medicaid funding. This follows a pattern we can’t ignore. From the “Learing Center” scandal to the recent DOJ action involving childcare centers, Minnesota’s Medicaid program has shown serious vulnerabilities to fraud. These are not isolated breakdowns—they point to systemic issues that must be addressed. Here’s the reality: the federal government funds roughly half of Medicaid. That gives CMS both the authority and the responsibility to ensure those dollars are spent legally and appropriately. When they’re not, we act. Earlier this year, after auditing Q4 FY2025 billing, we deferred over $250 million. Of the $91 million deferred: • $76 million is tied to 14 service categories highly vulnerable to fraud • $14 million involves program integrity concerns, including payments for ineligible individuals We’re giving Governor Walz as much support as we can to turn this around. However, we cannot and will not pay bad bills so we’re asking for more information from Minnesota to verify these bills. CMS will continue using every tool available to protect Medicaid’s integrity—because this program must serve the most vulnerable Americans, while honoring the trust of taxpayers. More updates to come. As always, I’m grateful to Vice President JD Vance’s leadership as CMS plays its part in the whole-of-government effort to root out fraud.

Today, CMS notified Governor Walz and the state of Minnesota that we are deferring an additional $91 million in federal Medicaid funding. This follows a pattern we can’t ignore. From the “Learing Center” scandal to the recent DOJ action involving childcare centers, Minnesota’s Medicaid program has shown serious vulnerabilities to fraud. These are not isolated breakdowns—they point to systemic issues that must be addressed. Here’s the reality: the federal government funds roughly half of Medicaid. That gives CMS both the authority and the responsibility to ensure those dollars are spent legally and appropriately. When they’re not, we act. Earlier this year, after auditing Q4 FY2025 billing, we deferred over $250 million. Of the $91 million deferred: • $76 million is tied to 14 service categories highly vulnerable to fraud • $14 million involves program integrity concerns, including payments for ineligible individuals We’re giving Governor Walz as much support as we can to turn this around. However, we cannot and will not pay bad bills so we’re asking for more information from Minnesota to verify these bills. CMS will continue using every tool available to protect Medicaid’s integrity—because this program must serve the most vulnerable Americans, while honoring the trust of taxpayers. More updates to come. As always, I’m grateful to Vice President JD Vance’s leadership as CMS plays its part in the whole-of-government effort to root out fraud.

DrOzCMS

927,865 次观看 • 1 个月前

🚨TRUMP: “Elon Musk has been working very hard with Vivek to eliminate hundreds of billions in waste and fraud. We’re looking to save maybe $2T. It will have no impact on people’s livelihoods like Medicare or social security. Just waste, fraud, and abuse.”

🚨TRUMP: “Elon Musk has been working very hard with Vivek to eliminate hundreds of billions in waste and fraud. We’re looking to save maybe $2T. It will have no impact on people’s livelihoods like Medicare or social security. Just waste, fraud, and abuse.”

Autism Capital 🧩

2,310,694 次观看 • 1 年前

🚨Health Fraud Spotlight: The White House Task Force to Eliminate Fraud is helping take the wrinkles out of Medicare fraud — now adding a $45 million Botox scheme to the list of crimes. This wasn't a mistake, it was theft from America's seniors and taxpayers. We caught her. She was convicted. And we're not done. If you steal from Medicare, we will find you, and we will hold you accountable.

🚨Health Fraud Spotlight: The White House Task Force to Eliminate Fraud is helping take the wrinkles out of Medicare fraud — now adding a $45 million Botox scheme to the list of crimes. This wasn't a mistake, it was theft from America's seniors and taxpayers. We caught her. She was convicted. And we're not done. If you steal from Medicare, we will find you, and we will hold you accountable.

DrOzCMS

82,427 次观看 • 11 天前

What is Medicare Advantage and should we be cutting it? Darren Grubb, spox for Medicare Advantage Majority, explains what's going on with the program and some of the political implications 👇

What is Medicare Advantage and should we be cutting it? Darren Grubb, spox for Medicare Advantage Majority, explains what's going on with the program and some of the political implications 👇

Scott Jennings

58,566 次观看 • 3 个月前

Mullin: Are we cutting medicaid to people that have the benefits that qualify for it or are we trying to cut the waste and the fraud and abuse out of the medicaid where some of the blue states are taking advantage of it?

Mullin: Are we cutting medicaid to people that have the benefits that qualify for it or are we trying to cut the waste and the fraud and abuse out of the medicaid where some of the blue states are taking advantage of it?

Acyn

75,257 次观看 • 1 年前

Zinke: "He's been very very careful on Medicaid and Medicare to make sure that cuts are focused on getting of the fraud, the waste, and the abuse."

Zinke: "He's been very very careful on Medicaid and Medicare to make sure that cuts are focused on getting of the fraud, the waste, and the abuse."

Aaron Rupar

37,182 次观看 • 1 年前

Chuck Schumer just posted that Elon is a liar for claiming that Social Security and Medicare have lots of waste, fraud, and abuse. Chuck also says that any cuts in these programs by DOGE will reduce benefits. Have a listen to Chuck Schumer back in 2010.

Chuck Schumer just posted that Elon is a liar for claiming that Social Security and Medicare have lots of waste, fraud, and abuse. Chuck also says that any cuts in these programs by DOGE will reduce benefits. Have a listen to Chuck Schumer back in 2010.

MAZE

1,045,571 次观看 • 1 年前

Finally, Dr. Oz shined a light on the even bigger problem lurking behind fraud: outright abuse and waste in the healthcare system. “And I'll leave you with one last thought,” he said. “In addition to the massive fraud, especially from foreign entities trying to invade America using their financial tools and criminal mindsets, we also have 25% of all of our money being spent probably subject to abuse.” He clarified the difference. “And that's not fraud. This is abuse and waste. Money not being used wisely.” To tackle this, the Centers for Medicare and Medicaid Services are rolling out a new model. “We just launched a new model called ‘Wiser’ with the Centers for Medicare and Medicaid Innovation—that is looking at ways for us to identify inappropriate use of services, services that are wasteful and should not be offered to the American people because they could hurt them.” For Dr. Oz, this isn’t just about money. It’s also about keeping Americans safe. “They're not providing value for these wonderful Americans whose health is being taken advantage of to generate higher revenue for providers.” He closed with a promise that the fight isn’t stopping here. “We're not going to tolerate it anymore, and we're going to use data analytics, real-time monitoring—and unhesitating and unwavering pursuit of the law to make sure this happens.” This was a turning point in American healthcare. The era of waste, fraud and abuse is over.

Finally, Dr. Oz shined a light on the even bigger problem lurking behind fraud: outright abuse and waste in the healthcare system. “And I'll leave you with one last thought,” he said. “In addition to the massive fraud, especially from foreign entities trying to invade America using their financial tools and criminal mindsets, we also have 25% of all of our money being spent probably subject to abuse.” He clarified the difference. “And that's not fraud. This is abuse and waste. Money not being used wisely.” To tackle this, the Centers for Medicare and Medicaid Services are rolling out a new model. “We just launched a new model called ‘Wiser’ with the Centers for Medicare and Medicaid Innovation—that is looking at ways for us to identify inappropriate use of services, services that are wasteful and should not be offered to the American people because they could hurt them.” For Dr. Oz, this isn’t just about money. It’s also about keeping Americans safe. “They're not providing value for these wonderful Americans whose health is being taken advantage of to generate higher revenue for providers.” He closed with a promise that the fight isn’t stopping here. “We're not going to tolerate it anymore, and we're going to use data analytics, real-time monitoring—and unhesitating and unwavering pursuit of the law to make sure this happens.” This was a turning point in American healthcare. The era of waste, fraud and abuse is over.

Vigilant Fox 🦊

110,500 次观看 • 11 个月前

🚨 JUST NOW: Dr. Oz reveals $100 BILLION DOLLARS in fraud — in Medicare and Medicaid *ALONE* Once that's eliminated, "we will DOUBLE the life expectancy of the Medicare trust fund" And LOCK THEM ALL UP! Blue state governors have ESPECIALLY allowed this betrayal for far too long!

🚨 JUST NOW: Dr. Oz reveals $100 BILLION DOLLARS in fraud — in Medicare and Medicaid ALONE Once that's eliminated, "we will DOUBLE the life expectancy of the Medicare trust fund" And LOCK THEM ALL UP! Blue state governors have ESPECIALLY allowed this betrayal for far too long!

Eric Daugherty

34,518 次观看 • 1 个月前

.Secretary Kennedy: “We are applying [AI] right now to Medicare — we are going to save billions of dollars this year. Medicaid and Medicare get $100 billion stolen from us every year and that’s money that’s not available for the poor and for seniors…[AI’s] ability to detect fraud is extraordinary.”

.Secretary Kennedy: “We are applying [AI] right now to Medicare — we are going to save billions of dollars this year. Medicaid and Medicare get $100 billion stolen from us every year and that’s money that’s not available for the poor and for seniors…[AI’s] ability to detect fraud is extraordinary.”

HHS Rapid Response

33,860 次观看 • 4 个月前