Fraud in America

← Fraud in America1 May 2025 · 30 min

Blowing the Whistle on Medicare Advantage Fraud

Blowing the Whistle on Medicare Advantage Fraud1 May 202530 min

Medicare Advantage now covers more than half of Medicare beneficiaries, at the cost of more than $450 billion annually. And it's growing. And where the money flows, fraud is sure to follow.

On today's episode, we're interviewing Teresa Ross, a former Director of Risk Adjustment who uncovered an alleged scheme with a settlement up to $100 million. Teresa walks us through her background and her whistleblowing journey. She is joined on today's episode by one of her attorneys, Mary Inman of Whistleblower Partners.