The Centers for Medicare and Medicaid Services (CMS) is making the Fraud Defense Operations Center (FDOC) pilot a permanent approach to crush fraud. Following a successful pilot that saved $105M thus far, the FDOC seeks to integrate cross-functional expertise through a specialized team of data analysts, investigators, health policy experts, legal advisors, and law enforcement. The pilot ended is now becoming permanent.
CMS is committed to crushing fraud, waste, and abuse to protect Americans enrolled in our programs from being victimized by healthcare fraud. The FDOC will assist the Agency to take swift action to take down bad actors, prevent payments from going to criminal operatives, and change wasteful or abusive policies.
From just March 31 – May 1, 2025, the pilot saved $105M, and will continue to help quickly identify and end fraud, waste, and abuse. This work will help detect, stop, and prevent fraud, waste, and abuse; safeguard Americans; protect taxpayer dollars; and leverage technology to stay ahead of bad actors. To learn more, view the newly released fact sheet on the pilot’s achievements.
Join us and stay up to date on the progress to crush fraud by visiting our website at cms.gov/fraud.