Medicare fraud detection can now predict where the bad actors are
What happened
A new study estimates how much fraud exists in Medicare home health. It turns out about $520 million a year is billed by fraudulent agencies.
Why it matters
For years, everyone knew Medicare home health had a fraud problem. This paper puts a number on it: over half a billion dollars a year. It also shows exactly what fraudulent agencies look like, making them easier to find.
The signal
Watch if federal strike forces start using these fraud characteristics to target new investigations.