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Dr. Oz Says Taxpayers Footing $14 Billion Bill for Medicaid Fraud While Eligible Patients Struggle for Care – CLG News

  • In 2025, Dr. Mehmet Oz, administrator of CMS, revealed that his organization, together with the Department of Government Efficiency, uncovered $14 billion in Medicaid fraud and misuse impacting several states.
  • This discovery follows concerns over Medicaid’s current structure incentivizing states to keep able-bodied adults enrolled to receive increased federal funding, creating opportunities for improper enrollments.
  • To address this, a bill imposing work requirements for many Medicaid recipients under 65 was passed by the House and is now in the Senate, requiring able-bodied enrollees to show work, volunteer, or schooling to maintain coverage.
  • Dr. Oz highlighted challenges with Medicaid enrollment by explaining a situation where someone residing in New Jersey relocates to Pennsylvania, raising the question of which state is responsible for their Medicaid coverage, while proponents argue the legislation will reduce costs and encourage accountability.
  • The findings and legislative efforts suggest a push to reduce waste and better target Medicaid to those truly in need, with GOP leaders emphasizing the need for accountability and work incentives.
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Fox News broke the news in New York, United States on Sunday, May 25, 2025.
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