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“This Is Where the BIG Money Fraud Is Happening”: DOGE Dives Into Medicare Payment Malarkey
The Liberty Daily ^ | February 05, 2025 | Tyler Durden

Posted on 02/06/2025 5:19:44 AM PST by Red Badger

Representatives of Elon Musk’s Department of Government Efficiency (DOGE) – who just obtained security clearances, have been embedded at the Centers for Medicare and Medicaid Services (CMS) this week, gaining access to critical payment and contracting systems, according to the Wall Street Journal, citing multiple individuals familiar with the situation.

The DOGE representatives have been on site at the agency’s offices this week, the people said, and they are looking at the systems’ technology as well as the spending that flows through them, with a focus on pinpointing what they consider fraud or waste. DOGE representatives are also examining the agency’s organizational design and how it is staffed, the people added.

Musk confirmed his interest in CMS oversight in a social media post, writing on X: “Yeah, this is where the big money fraud is happening.”

The motherlode is now being tapped for the first, but not the last, time.

This is where the real big savings are. pic.twitter.com/F3TgucQyqm— Crémieux (@cremieuxrecueil) February 5, 2025

The White House and DOGE officials declined to comment on the matter. In the last week, Musk’s DOGE team has been moving swiftly to gain access across multiple federal agencies, including the Treasury Department and the U.S. Agency for International Development (USAID) to uncover fraud, abuse, and excessive spending.

A CMS official told the Journal that the agency has assigned “two senior agency veterans who are leading the coordination with DOGE,” and that leaders are “taking a thoughtful approach to see where there may be opportunities for more effective and efficient spending in line with meeting the goals of President Trump.”

CMS sits at the heart of the nation’s healthcare economy, managing a budget of approximately $1.5 trillion in fiscal 2024 – roughly 22 percent of total federal spending. The agency employs around 6,710 people and administers Medicare, Medicaid, and other healthcare programs vital to millions of Americans. Many of its employees have spent decades navigating the complex regulatory and operational framework underpinning the healthcare system.

Among the systems DOGE representatives have accessed is CALM, the CMS Acquisition Lifecycle Management system, which contains contract data, sources said. However, they noted that DOGE personnel have not yet gained entry to databases containing personally identifiable health information of Medicare and Medicaid beneficiaries. They also have not accessed HIGLAS, the Healthcare Integrated General Ledger Accounting System, a key accounting platform for CMS payments.

One person familiar with DOGE’s work at CMS emphasized that the current level of access is “read-only,” preventing Musk’s team from making modifications to the systems.

The intervention has raised concerns among CMS veterans and healthcare policy experts. The agency’s payment structures are notoriously complex, involving multiple layers of contractors and private insurers, especially within Medicare. Medicaid, jointly administered by federal and state governments, follows different financial pathways, with federal funding typically flowing to state agencies.


TOPICS: Business/Economy; Crime/Corruption; Front Page News; Government; Politics/Elections
KEYWORDS: cms; doge; elonmusk; fraudwatch; healthcare; malarkey; medicaid; medicare; musk
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1 posted on 02/06/2025 5:19:44 AM PST by Red Badger
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To: Red Badger

Ruh Ro


2 posted on 02/06/2025 5:21:32 AM PST by Palio di Siena (Kralik…..you get the wallet )
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To: Red Badger

Onward!


3 posted on 02/06/2025 5:21:44 AM PST by crusty old prospector
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To: Red Badger

I wonder how many chiseler MD’s. are shak’n I their shoes


4 posted on 02/06/2025 5:22:13 AM PST by SMARTY (In politics, stupidity is not a handicap. Napoleon Bonaparte I)
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To: Red Badger
The agency’s payment structures are notoriously complex, involving multiple layers of contractors and private insurers

By design.
5 posted on 02/06/2025 5:23:34 AM PST by ComputerGuy
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To: Red Badger

OMG. Now he is going to get my medical records!!! Please please please corrupt DC district judges - Stop this man before he uncovers another couple of $T in fraud.


6 posted on 02/06/2025 5:23:36 AM PST by AndyJackson
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To: Red Badger

Now the Democrats start with: “Republicans want to cut your Social Security and Medicare!”


7 posted on 02/06/2025 5:24:01 AM PST by Fido969
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To: Red Badger

Medicare fraud gets caught all the time. We’re after the ones that don’t get caught.


8 posted on 02/06/2025 5:24:11 AM PST by Sacajaweau
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To: crusty old prospector

Long way from when doctors did housecalls and got paid in farm products and services.


9 posted on 02/06/2025 5:24:50 AM PST by AndyJackson
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To: SMARTY

Indian scam call centers are probably also looking at a revenue hit.


10 posted on 02/06/2025 5:25:38 AM PST by posterchild
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To: Red Badger

Hopefully they’ll figure out why it’s cheaper to buy a Lexus than a scooter.

(well, not quite, but you get the point)


11 posted on 02/06/2025 5:26:32 AM PST by BobL
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To: Red Badger

Big scams in imaging and laboratory services. Easily pad a bill by a couple of grand.


12 posted on 02/06/2025 5:30:01 AM PST by LukeL
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To: SMARTY

Although always a few corrupt docs but the real abuse is the corporations etc.
look at what percent of healthcare dollars goes to docs vs rest of system over last few decades.


13 posted on 02/06/2025 5:32:45 AM PST by arkfreepdom
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To: SMARTY

A new rush to Florida where they put all assets in wife’s name and enjoy benefits of the homestead act.


14 posted on 02/06/2025 5:36:33 AM PST by Track9 (Make haste slowly. )
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To: ComputerGuy
Hopefully, the fraud, waste, abuse and shenanigans exposed in this agency will parallel what we are finding wrong with USAID.

Those revelations will be ammunition for Kennedy as he tries to Make America Healthy Again. He will need to have that ammunition to beat back the richest most powerful lobby in Washington and their de facto lobbyists, the Democrats.


15 posted on 02/06/2025 5:38:07 AM PST by nathanbedford (Attack, repeat, attack! - Bull Halsey)
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To: Red Badger

Yup we are about to find out WHY our medical “care” is so expensive.

Gravy train is ending


16 posted on 02/06/2025 5:40:00 AM PST by blitz128
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To: nathanbedford

Agreed.


17 posted on 02/06/2025 5:40:15 AM PST by ComputerGuy
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To: ComputerGuy

Exactly


18 posted on 02/06/2025 5:41:04 AM PST by blitz128
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To: Red Badger
two senior agency veterans who are leading the coordination with DOGE,” and that leaders are “taking a thoughtful approach to see where there may be opportunities for more effective and efficient spending in line with meeting the goals of President Trump,” because they don’t want their asses fired like some of the other swamp dwellers.
19 posted on 02/06/2025 5:42:16 AM PST by Repeat Offender (While the wicked stand confounded, call me with Thy saints surrounded.)
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To: Red Badger

Some serious theft going on , there will be much lamenting, wailing and gnashing of teeth.


20 posted on 02/06/2025 5:43:11 AM PST by OldHarbor
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