Medicare Program Integrity and Efforts to Root Out Improper Payments, Fraud, Waste and Abuse

(By Meredith Freed, Juliette Cubanski, and Tricia Neuman for The Kaiser Family Foundation Published: Mar 31, 2025)

Medicare, the federal health insurance program for people ages 65 and older and people under 65 with long-term disabilities, covers 68 million people and represents 15% of all federal spending – nearly $1 trillion dollars in 2024. The Medicare program has more than 1.4 million providers and more than 20 different payment systems. Due to the complexity and size of the program, Medicare faces risk of improper payments and some vulnerability to fraud, waste, and abuse, though many actions have been taken over the years to reduce improper payments in the program and to root out fraud. Continue reading here…

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