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Medicare fraud claims spike 7,100% as Vance task force cracks down
Fox News • • nation
Key Points:
- Medicare claims for tissue and organ transplants surged by 7,100% from $200 million in 2019 to $14.4 billion in 2025, prompting a crackdown on fraud by the task force led by Vice President JD Vance and CMS.
- CMS identified 4,200 suspicious allograft claims totaling $224 million in charges through May 2025, denying 96% of claims made since March due to suspected fraud.
- Fraudulent claims were also found in Durable Medical Equipment (DME), leading to payment suspensions for 102 suppliers and revoked billing privileges for 725 others, effectively reducing DME fraud nationwide.
- CMS Administrator Dr. Mehmet Oz emphasized the financial and systemic harm caused by fraud, warning fraudsters that the task force is aggressively pursuing offenders and protecting vulnerable patients.
- The anti-fraud efforts, established by former President Trump and led by Vance, have resulted in major Medicaid and Medicare fraud takedowns, including a $90 million fraud case in Minnesota and the largest autism fraud scheme charged federally.
