As part of the initiative, Medicaid funding is already being deferred in Minnesota for alleged fraud and a moratorium has been placed on Medicaid enrollment for certain suppliers
April 24, 2026 (ACP) — The American College of Physicians is warning that a new federal initiative to combat health care fraud could hinder patient care and inappropriately put clinicians under a microscope.
“Measures to prevent and address fraud should not interfere with physicians’ ability to provide proper medical care,” Dr. Leslie F. Algase, chair of the ACP Medical Practice and Quality Committee, wrote in a March 30 letter to CMS Administrator Dr. Mehmet Oz.
While ACP supports efforts to prevent fraud, Algase wrote that heavy-handed enforcement can create “an atmosphere where physicians [are made to] believe that all their behavior is suspect. This undermines efficient medical care and places patients at…
This type of fraud targets the supply chain and accounts payable departments of businesses.
- Invoice Manipulation: Criminals intercept a legitimate invoice between a supplier and a client and change the banking details to their own. The client pays the bill thinking they are paying their trusted vendor.
- Kickbacks and Bribery: A vendor secretly pays an employee of the purchasing company to ensure their bid is successful or to overlook inflated pricing.