OIG: CMS Should Make Better Use of Data To Prevent Fraud in MA, Part D Programs

The Centers for Medicare & Medicaid Services isn’t making the best use of the data it collects to help prevent fraud and abuse in its Medicare private plan programs, the Department of Health and Human Services Office of Inspector General said March 4.

The OIG released two reports on fraud, one on Medicare Advantage (Part C) and one on the Part D drug program in conjunction with a hearing before the House Energy and Commerce Subcommittee on Health.

“With more than $200 billion in expenditures and millions of Medicare beneficiaries covered under MA and Part D, it is paramount that ...