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 category refers to crimes committed by employees or insiders against their own organizations. It is often the most damaging because the perpetrator has authorized access to systems.
- Asset Misappropriation: The most common form, involving the theft of company resources. This ranges from simple “skimming” (taking cash before it’s recorded) to complex schemes involving the theft of inventory or intellectual property.
- Payroll Fraud: Employees may create “ghost employees” on the system, falsify their own timesheets to claim unworked overtime, or divert salary payments to their own accounts.
- Financial Statement Fraud: Management deliberately misrepresents the company’s financial health by inflating revenue or hiding liabilities to attract investors or meet performance bonuses.