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thinkthatoveryesterday at 6:37 PM1 replyview on HN

Medicaid and medicare make up 50% of the "abuse" (primarily overpayment), which again points towards companies milking the system, not individuals https://washingtonstand.com/article/gao-finds-15-major-feder...


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willmarchyesterday at 7:07 PM

I decided to read the report this is article is referring to. The report is estimating improper payments which is basically just missing paperwork and other types of payment errors. The report says explicitly that it is not measuring fraud rates.

So I dug a little deeper: roughly 94% of Medicare/Medicaid dollars and 89% of SNAP dollars passed audit reviews in 2025, but I can't find any national percentages for beneficiary fraud rates overall (which is sort of what we are talking about).

Provider fraud does appear to be the main driver of healthcare losses if we look at the enforcement evidence, but that does not mean every improper payment is abuse. It does seem the programs are audited quite extensively (unlike what some other comments in this thread are claiming).