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June 1-5 is Medicare Fraud Prevention Week. Here’s How Americans Can Help Protect Themselves and Medicare.
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June 1-5 is Medicare Fraud Prevention Week, a time to raise awareness about protecting Medicare from fraud. This week highlights the ongoing efforts by the Centers for Medicare & Medicaid Services (CMS) to safeguard taxpayer dollars and ensure beneficiaries receive the care they need. In 2025, CMS suspended over $5.7 billion in suspicious payments and is currently investigating numerous potentially fraudulent providers. To prevent new scams, CMS has paused new enrollments for certain Medicare services while continuing to support existing providers.
Insurance agents should inform their clients about the importance of recognizing and reporting Medicare fraud. They can encourage clients to utilize resources like the Senior Medicare Patrol (SMP), which offers free assistance to help beneficiaries identify fraud and navigate their Medicare concerns. By staying vigilant and informed, agents can help protect Medicare and its beneficiaries from fraud.
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Fraud, waste, & abuse
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By Dr. Mehmet Oz, CMS Administrator, and Mary Lazare, ACL Principal Deputy Administrator, serving as the senior official performing the duties of the ACL Administrator and Assistant Secretary for Aging
June 1-5 is Medicare Fraud Prevention Week. Here’s How Americans Can Help Protect Themselves and Medicare.
June 1 marked the start of Medicare Fraud Prevention Week. While this week shines a spotlight on fraud prevention, protecting Medicare is a year-round mission.
As the leaders of the Centers for Medicare & Medicaid Services (CMS) and the Administration for Community Living (ACL), we know protecting taxpayer dollars and safeguarding beneficiaries requires constant vigilance across the U.S. Department of Health and Human Services (HHS) every day of the year.
In 2025 alone, CMS suspended more than $5.7 billion in suspicious payments and launched investigations into thousands of potentially fraudulent Medicare providers and suppliers. This year, CMS has suspended Medicare payments to hundreds of potentially phony hospices, many of which didn't even bother calling to dispute our decision.
CMS also just recently issued nationwide moratoria on new Medicare enrollments for hospices, home health agencies, and durable medical equipment suppliers until we can develop the safeguards necessary to stop bad actors from exploiting the system. Existing providers will continue delivering these vital services to beneficiaries while CMS closes off pathways for new fraudsters to enter the program.
As a partner in the Medicare fraud fight, ACL supports a national network of grantees and team members, many of them volunteers, known as the Senior Medicare Patrol (SMP). The SMPs provide free, unbiased one-on-one assistance to Medicare enrollees, their families, and caregivers to help people identify potential fraud, review billing concerns, and report suspected scams. They are the local connection between Medicare and the older adults and people with disabilities who rely on it for their healthcare benefits and services.
Annually, the SMPs reach almost 2.5 million people through community outreach and education, and help more than 300,000 people, one-on-one, navigate their Medicare questions and concerns. SMP team members provide more than 550,000 hours to the program each year, most of which is spent helping individuals identify and report suspected cases of fraud. To give just one example of this program’s positive work, an SMP in 2024 helped identify a doctor who was signing orders for genetic testing and durable medical equipment without seeing, speaking to, or otherwise treating patients. That case resulted in the arrest and conviction of the doctor involved, including a judgment of more than $35 million to be paid back to Medicare.
Although HHS is fighting fraud 365 days a year, it’s still worth taking the time this week to remind ourselves, the people who depend on our programs, and the taxpayers who fund them, why stopping health care scams is a top priority for this administration and how we can work together to pursue that goal.
The answer is simple: protecting Medicare means protecting access to care for today’s beneficiaries and preserving the program for future generations. Fraud destroys the public trust that sustains these programs. It increases the burden on taxpayers. And it harms the most vulnerable Americans by siphoning off scarce resources.
The audacity of these scams can be shocking. One provider billed Medicare over $9 million for 7,200 skin substitute bandages over a three-month period—for a single patient! This patient supposedly had a wound the size of a sheet of printer paper, but the paperwork showed no doctor visits, no record of a wound, and no prescriptions for pain medication or antibiotics. Another provider claimed that a patient went through 20 catheters a day for three months and billed Medicare $19,000 for them. When we reached out to the patient, he told us he didn’t use catheters at all.
The cost of fraud isn’t just financial either. Criminals who are willing to steal money from beneficiaries are often willing to steal their health and even their life. Medicare beneficiaries who are signed up for hospice care without their consent lose access to their regular benefits and must go through several laborious steps to get them restored. In a case identified by the California SMP, a beneficiary’s lifesaving surgery was canceled due to a fraudulent hospice enrollment, putting her life in jeopardy. In another example, an elderly hospice patient in the Los Angeles suburb of Carson died after being neglected and malnourished by scammers out to make a quick buck. Fraud has devastating, real-life consequences for Medicare beneficiaries and their families.
HHS will continue cracking down on these abuses, but we need your help. People with Medicare and their families are the first line of defense against health care fraud.
Here’s how you can get involved:
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