Thoughts on Healthcare Markets & Technology
Thoughts on Healthcare Markets & Technology Podcast
Why CMS Stopping 1.6 Billion Dollars in Fake Medicare Lab Claims Proves the Analytics Layer Is Now Trivially Cheap, While the Services Layer That Proves a Lab Never Existed Remains the Actual Moat
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Why CMS Stopping 1.6 Billion Dollars in Fake Medicare Lab Claims Proves the Analytics Layer Is Now Trivially Cheap, While the Services Layer That Proves a Lab Never Existed Remains the Actual Moat

CMS just announced 1.6 billion dollars stopped in fake Medicare lab payments. They credited AI and machine learning. The real story is more interesting than that.

732 million from revoking 157 labs. 500 million-plus in payment suspensions across 185 labs out of 600 investigated. 276 million recouped from overpayments. 127 million from law enforcement ref…

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