Dr Oz alleges widespread fraud in New York's $100B Medicaid program, demands Hochul respond

"Recent data reporting, federal prosecutions, and analyses raise serious concerns about New York's oversight of personal care, home health, adult day care programming, non-emergency medical transportation (NEMT), and behavioral health services. This evidence, combined with New York's elevated per capita Medicaid spending and workforce utilization patterns that significantly exceed national norms, underscore the need for immediate investigation, corrective action, and enhanced transparency."

"The data is clear: New York far outspends other states on its Medicaid program on a statewide and per beneficiary basis. New York spends more than $100 billion a year on Medicaid, the second highest in the nation. New York's average spending on each beneficiary is more than $12,500, 36% higher than the national average."

"As a result, New York's average Medicaid spending per resident was the highest in the country, nearly 80% higher than the national average. That alone demands scrutiny. But it gets worse. Personal care services, these help Medicaid patients do something that our families would normally do for us, like carrying groceries, New York State made the screening even more lenient."

CMS Administrator Dr. Mehmet Oz has launched a comprehensive examination of New York's Medicaid program, alleging widespread fraud and requesting 50 questions be answered within 30 days. New York spends over $100 billion annually on Medicaid, the second highest nationally, with per-beneficiary spending of $12,500—36% above the national average. Oz identified concerns in personal care, home health, adult day care, non-emergency medical transportation, and behavioral health services. New York's per-resident Medicaid spending is nearly 80% higher than the national average. The investigation focuses on program integrity, provider screening, enrollment oversight, and whether lenient screening standards have enabled fraudulent practices in personal care services.

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