Medicaid operates under a dual federal-state regulatory structure that prevents, detects and prosecutes fraud.
However, claims of widespread fraud within the program are now being used to justify policy and regulatory actions that could harm the millions of Americans who rely on Medicaid. The evidence tells a different story: the robust strategies that states and managed care plans use to prevent and detect fraud are limiting the scope of fraud in Medicaid. While policymakers should explore targeted approaches that can bring further improvements, they must reject proposals that would only hinder fraud-fighting efforts and ensure the program continues to offer access to coverage and essential health care services for the patients and communities who rely on the program.
Check out this infographic to learn more.