The Scope of Medicare Fraud

01/10/25 • 15 min

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Happy New Year!

Health Affairs' Jeff Byers welcomes Senior Deputy Editor Rob Lott back to the program to explore Medicare fraud, how prevalent it is, who's most at risk, and what measures are being taken to protect Medicare beneficiaries.

Health Affairs just released our January 2025 issue on Medicare, Care Delivery, Medicare Advantage, and more. Order your copy today!

Also, we just released our best of 2024 retrospective lists. These include:

And we recently unveiled a refresh to our Health Affairs Insider program. Learn more about the recent changes and how to become an Insider today!

Related Articles:

Medicare Beneficiaries’ Exposure To Fraud And Abuse Perpetrators (Health Affairs)
Fiscal Year 2024 Improper Payments Fact Sheet (CMS)
Improper Payments Measurement Programs (CMS)

Happy New Year!

Health Affairs just released our January 2025 issue on Medicare, Care Delivery, Medicare Advantage, and more. Order your copy today!

Also, we just released our best of 2024 retrospective lists. These include:

And we recently unveiled a refresh to our Health Affairs Insider program. Learn more about the recent changes and how to become an Insider today!

Related Articles:

Medicare Beneficiaries’ Exposure To Fraud And Abuse Perpetrators (Health Affairs)
Fiscal Year 2024 Improper Payments Fact Sheet (CMS)
Improper Payments Measurement Programs (CMS)

Previous Episode

Holly Jolly Health Expenditures

Health Affairs' Jeff Byers welcomes Senior Editor Leslie Erdelack back to the program to discuss the recently released 2023 health care spending report from the Centers for Medicare and Medicaid Services (CMS).

Learn more about the report from our ahead-of-print article from Anne B. Martin and colleagues from CMS.

Last week, Health Affairs announced that Editor-in-Chief Alan Weil will leave his role at the end of the year. Read about Weil's achievements during his tenure at Health Affairs.

Related Articles:

National Health Expenditures In 2023: Faster Growth As Insurance Coverage And Utilization Increased (Health Affairs)
Beyond National Health Expenditure Data: Three Things I Wish Were Better Measured (Health Affairs Forefront)
National Health Expenditure Projections, 2023–32: Payer Trends Diverge As Pandemic-Related Policies Fade (Health Affairs)

Next Episode

New Year, New Hospital Price Transparency Requirements

Health Affairs' Jeff Byers welcomes Senior Editor Leslie Erdelack back to the program to discuss the latest hospital price transparency requirements that began in 2025, how many hospitals are actually following these regulations, and what effect noncompliance has on consumers' access to health care.

Check out a recently released Health Policy brief from Derek Griffith and Andrew Twinamatsiko exploring the laws and policies prohibiting the discussion of what the Trump administration labeled “divisive concepts” and their impact on health equity.

And we recently unveiled a refresh to our Health Affairs Insider program. Learn more about the recent changes and how to become an Insider today!

Watch our Virtual Briefing on Uses of Health Care Price Transparency Data: Status, Innovations, & Opportunities

Related Articles:

Many hospitals still aren’t complying with price transparency rule: OIG (Healthcare Dive)
HHS: Nearly half of hospitals aren’t following CMS price transparency rule (Healthcare Brew)
Latest updates to hospital price transparency rules aim to make the data more useful (Stat News)

Health Affairs This Week - The Scope of Medicare Fraud

Transcript

Jeff Byers00:00:08.720

Hello, and welcome to health affairs this week. I am your host, Jeff Byers. We're recording on on January 9th 2025. Before we begin the show, we have some housekeeping. We published a new issue this week with focuses on Medicare, Medicare Advantage, and more. We also released our health affairs best of 2024 list where we highlighted the most read journal and Forefront articles. Check those links out in the show notes. We also announced this week