
"Fraud is a real issue in public benefits programs, but the vast preponderance of improper payments, particularly in Medicaid, results from arcane systems and processes rather than individual cheaters."
"The biggest issues affecting the integrity of our benefits programs are not 'fraud' per se; they lie in a lack of data sharing, inadequate tools, and overly complex processes."
"A war on fraud is welcome, but we would do better to think of it as a war for tech modernization, overcoming the limitations of legacy systems."
An executive order has established a task force to combat fraud in public benefits programs, focusing on ensuring adequate anti-fraud controls in states and counties. The Trump administration may withhold funds if controls are inadequate. The task force will also address challenges related to limited data sharing between state and federal governments. While fraud exists, most improper payments stem from outdated systems rather than individual malfeasance. Effective change requires modernization of technology and processes rather than merely enforcing compliance.
Read at Nextgov.com
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