$50 Billion Scam: How Health Insurers Are Exploiting Medicare with Fake Diagnoses

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What’s Next?

The Centers for Medicare and Medicaid Services (CMS) have pledged to implement reforms to curb these abuses. A spokeswoman for CMS stated they would continue working to ensure that “taxpayer dollars are appropriately spent,” while still providing “robust and stable options” for Medicare beneficiaries. But is this enough?

It’s clear that more oversight is needed. Insurers can’t be allowed to continue inflating patient diagnoses without consequence. The integrity of Medicare Advantage—and by extension, our healthcare system—depends on it.

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