Tag: fraud

Waste of the Day: Covid Fraud Was “Readily Preventable” |

Waste of the Day: Covid Fraud Was “Readily Preventable” |

Image: Evan-Amos, Wikimedia Commons This story was initially published by Real Clear Wire. By Jeremy PortnoyReal Clear Wire…

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Google to scale up AI-powered fraud detection and security operations in India

Google to scale up AI-powered fraud detection and security operations in India

Google's Safety Charter in India: Combating Digital Fraud and Scams Google has recently unveiled its Safety Charter in…

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Eliminating Waste, Fraud, and Abuse in Medicaid My Administration has been relentlessly committed to rooting out waste, fraud, and abuse in Government programs to preserve and protect them for those who rely most on them. The Medicaid program was designed to be a program to compassionately provide taxpayer dollars to healthcare providers who offer care to the most vulnerable Americans. To keep payments reasonable, billable costs for such care were historically capped at the same level that healthcare providers could receive from Medicare. The State and Federal Governments jointly shared this cost burden to ensure those of lesser means did not go untreated. Under the Biden Administration, States and healthcare providers were permitted to game the system. For example, States “taxed” healthcare providers, but sent the same money back to them in the form of a “Medicaid payment,” which automatically unlocked for healthcare providers an additional “burden-sharing” payment from the Federal Government. Through this gimmick, the State could avoid contributing money toward Medicaid services, meaning the State no longer had a reason to be prudent in the amount of reimbursement provided. Instead of paying Medicare rates, many States that utilize these arrangements now pay the same healthcare providers almost three times the Medicare amount, a practice encouraged by the Biden Administration. These State Directed Payments have rapidly accelerated, quadrupling in magnitude over the last 4 years and reaching 0 billion in 2024 alone. This trajectory threatens the Federal Treasury and Medicaid’s long-term stability, and the imbalance between Medicaid and Medicare patients threatens to jeopardize access to care for our seniors. I pledged to protect and improve these important Government healthcare programs for those that rely on them. Seniors on Medicare and Medicaid recipients both deserve access to quality care in a system free from the fraud, waste, and abuse, that enriches the unscrupulous and jeopardizes the programs themselves. We will take action to continue to love and cherish the Medicare and Medicaid programs to ensure they are preserved for those who need them most. The Secretary of Health and Human Services shall therefore take appropriate action to eliminate waste, fraud, and abuse in Medicaid, including by ensuring Medicaid payments rates are not higher than Medicare, to the extent permitted by applicable law. This memorandum is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person. DONALD J. TRUMP

Eliminating Waste, Fraud, and Abuse in Medicaid My Administration has been relentlessly committed to rooting out waste, fraud, and abuse in Government programs to preserve and protect them for those who rely most on them. The Medicaid program was designed to be a program to compassionately provide taxpayer dollars to healthcare providers who offer care to the most vulnerable Americans. To keep payments reasonable, billable costs for such care were historically capped at the same level that healthcare providers could receive from Medicare. The State and Federal Governments jointly shared this cost burden to ensure those of lesser means did not go untreated. Under the Biden Administration, States and healthcare providers were permitted to game the system. For example, States “taxed” healthcare providers, but sent the same money back to them in the form of a “Medicaid payment,” which automatically unlocked for healthcare providers an additional “burden-sharing” payment from the Federal Government. Through this gimmick, the State could avoid contributing money toward Medicaid services, meaning the State no longer had a reason to be prudent in the amount of reimbursement provided. Instead of paying Medicare rates, many States that utilize these arrangements now pay the same healthcare providers almost three times the Medicare amount, a practice encouraged by the Biden Administration. These State Directed Payments have rapidly accelerated, quadrupling in magnitude over the last 4 years and reaching $110 billion in 2024 alone. This trajectory threatens the Federal Treasury and Medicaid’s long-term stability, and the imbalance between Medicaid and Medicare patients threatens to jeopardize access to care for our seniors. I pledged to protect and improve these important Government healthcare programs for those that rely on them. Seniors on Medicare and Medicaid recipients both deserve access to quality care in a system free from the fraud, waste, and abuse, that enriches the unscrupulous and jeopardizes the programs themselves. We will take action to continue to love and cherish the Medicare and Medicaid programs to ensure they are preserved for those who need them most. The Secretary of Health and Human Services shall therefore take appropriate action to eliminate waste, fraud, and abuse in Medicaid, including by ensuring Medicaid payments rates are not higher than Medicare, to the extent permitted by applicable law. This memorandum is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person. DONALD J. TRUMP

MEMORANDUM FOR THE SECRETARY OF HEALTH AND HUMAN SERVICES THE ADMINISTRATORS OF THE CENTERS FOR MEDICARE AND MEDICAID…

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Mike Johnson Gets Crushed When Asked For Proof Of Medicaid Fraud

Mike Johnson Gets Crushed When Asked For Proof Of Medicaid Fraud

PoliticusUSA thrives on the unwavering support of our readers. If you find our work valuable, please consider becoming…

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Palantir teams up with Fannie Mae in AI push to sniff out mortgage fraud

Palantir teams up with Fannie Mae in AI push to sniff out mortgage fraud

Fannie Mae, a quasi-governmental financial firm, recently announced a partnership with defense tech company Palantir to enhance its…

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American Backlash: Why the Letitia James Mortgage Fraud Investigation Resonates with Americans |

American Backlash: Why the Letitia James Mortgage Fraud Investigation Resonates with Americans |

Guest post by Joel Gilbert “We’re absolutely going to sue him. He’ll definitely know my name personally,” declared…

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Savannah Chrisley Celebrates Parents’ Pardon in Tax and Fraud Case

Savannah Chrisley Celebrates Parents’ Pardon in Tax and Fraud Case

Savannah Chrisley, the daughter of Todd and Julie Chrisley, expressed her immense joy and gratitude towards President Donald…

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Supreme Court Refuses Case from Michigan Legislators Challenging Law Change Enabling Voter Fraud, Says Legislators ‘Lack Standing’ to Sue |

Supreme Court Refuses Case from Michigan Legislators Challenging Law Change Enabling Voter Fraud, Says Legislators ‘Lack Standing’ to Sue |

Supreme Court Declines to Hear Michigan Election Law Appeal In a notable decision, the U.S. Supreme Court opted…

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EXCLUSIVE: Retired US Naval Commander Republican Bob Smith Running for US Congress in California-24: ‘I Am Not Done Serving Our Country’ and ‘Waste, Fraud, and Abuse Starts with Congress’ |

EXCLUSIVE: Retired US Naval Commander Republican Bob Smith Running for US Congress in California-24: ‘I Am Not Done Serving Our Country’ and ‘Waste, Fraud, and Abuse Starts with Congress’ |

US Naval Commander Bob Smith’s Congressional campaign logo Retired US Naval Commander and combat veteran Bob Smith has…

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Ask an Expert: How Strong is the Case Against Fossil Fuel Companies for Climate Fraud?  

Ask an Expert: How Strong is the Case Against Fossil Fuel Companies for Climate Fraud?  

Hawai’i Takes Legal Action Against Fossil Fuel Companies in Landmark Climate Case Recently, Hawai’i made headlines by filing…

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REPORT: USAID Officer Charged With Pandemic Bailout Fraud |

REPORT: USAID Officer Charged With Pandemic Bailout Fraud |

Credit: USAID U.S. Agency for International Development The recent scrutiny directed at USAID by DOGE has sparked a…

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BEYOND PARODY: Lawyers for Letitia James Claim Investigation Into Her Alleged Mortgage Fraud is ‘Politically Motivated’ |

BEYOND PARODY: Lawyers for Letitia James Claim Investigation Into Her Alleged Mortgage Fraud is ‘Politically Motivated’ |

Screenshot: New York State Attorney General In a twist worthy of a political thriller, Letitia James' legal team…

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