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Fraud in America

Fraud in America

Breaking Down Medicare Advantage Fraud with Eva Gunasekera

Nov 12, 2025 · 1h 0m

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About this episode

Medicare Advantage has grown to insure over half of all Medicare beneficiaries, but with that explosive growth has come an explosion in fraud. Billions of dollars in taxpayer money are being siphoned off through schemes that exploit the program's risk-adjustment payment system—from upcoding patient diagnoses to fabricating medical conditions entirely.