Fraud, waste, and abuse (FWA) have a massive financial impact on the industry:
Fraud, waste, and abuse cost payers an estimated $240 billion annually1
Of the $389 billion in Medicare fee-for-service spending in 2018, an estimated $32 billion came from improper payments2
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1. Low estimates of fraud, abuse, and overtreatment in 2011. Donald M. Berwick and Andrew D. Hackbarth, “Eliminating Waste in US Health Care,” Journal of American Medical Association, 307, no. 14, April 11, 2012
2. U.S. Government Accountability Office, Medicare and Medicaid, Appendix II: Fiscal year 2018 Medicare Improper Payment Data, March 2019.