Program Integrity: Actions Needed to Reduce Improper Payment and Fraud Risks in VA Community Care and Medicare Advantage
The GAO report identifies the VA Community Care program and CMS’s Medicare Advantage program as high-priority improper payment risks for fiscal year 2025. VA reported a Community Care improper payment estimate of $608 million (2.4 percent of outlays) for FY2025; CMS reported a Medicare Advantage…