ABC · LiveNOW from Fox · updated 1d ago

Trump Admin. Officials Speak on Alleged Healthcare Fraud

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ABC

“TRUMP ADMINISTRATION TO REMOVE AFFORDABLE CARE ACT ENROLLEES OVER ALLEGED FRAUD CLAIMS”

covered 1d ago ▶ Be on the air with ABC
LiveNOW from Fox

“VP VANCE R. OZ ON ALLEGED HEALTHCARE”

covered 1d ago ▶ Be on the air with LiveNOW from Fox

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The Justice Department

MS NOW

Steve Scalise

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Dr. Oz now oversees $1.5 trillion in U.S. healthcare spending.

Confirmed in 2025 as CMS Administrator, Dr. Mehmet Oz runs Medicare & Medicaid — the federal programs most targeted by healthcare fraud — giving him direct authority over the alleged abuses being investigated.

The US has 94 federal judicial districts — all can prosecute benefit fraud.

Each of the 94 U.S. Attorney districts has jurisdiction to prosecute federal benefit fraud like SNAP or Medicaid schemes. That network spans all 50 states, D.C., Puerto Rico, Guam, and the U.S. Virgin Islands.

The law behind ACA fraud recovery was signed by Lincoln in 1863!

The False Claims Act — dubbed the 'Lincoln Law' — was created to stop Civil War contractors from selling the Union Army sawdust instead of gunpowder. Today it's the government's top tool for healthcare fraud recovery.

Topic poll · all networksWho suffers most when fake ACA enrollments go undetected?

  • People enrolled without consent 0%
  • Taxpayers footing the bill 0%
  • Legit patients losing coverage 0%
  • Small brokers blamed unfairly 0%

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CMS's AI fraud tool flagged $2B+ in suspicious claims in year one!

The CMS Fraud Prevention System, launched in 2011 under a congressional mandate, uses predictive analytics to flag claims before payment — shifting from 'pay and chase' to stopping fraud upfront.

Topic poll · all networksWhistleblowers exposing Medicare fraud can keep what share of recovered funds?

  1. Up to 5%
  2. 15–30%
  3. 33–50%
  4. None — it's illegal
Guess, then reveal the answer

15–30%

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