Fraud in America

← Fraud in America12 nov 2025 · 1 u 00 min

Breaking Down Medicare Advantage Fraud with Eva Gunasekera

Breaking Down Medicare Advantage Fraud with Eva Gunasekera12 nov 20251 u 00 min

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.