One of the more surprising facts that emerged from a Sept. 17 virtual seminar co-hosted by LDI and the Tradeoffs podcast is that, despite how often the topic is discussed and debated in government and regulatory circles, no one actually knows the total amount of money being lost to fraud in Medicaid.
Titled “Decoding the Moment: States Weigh in on Medicaid Fraud,” the University of Pennsylvania event featured Medicaid executives from New York, Nebraska, and Massachusetts; Penn Medicaid researcher and LDI Senior Fellow Paula Chatterjee, MD, MPH; and Dan Gorenstein, Founding Executive Director of Tradeoffs, who served as moderator.
The Medicaid officials were Amir Bassiri, MSW, Medical Director of the New York State Department of Health; Drew Gonshorowski, MS, Former Medical Director of the Division…
Cyber fraud uses technology as the primary weapon. It is highly scalable and can be conducted from anywhere in the world.
- Phishing/Smishing/Vishing: Using deceptive emails (phishing), text messages (smishing), or phone calls (vishing) to trick victims into clicking malicious links or revealing sensitive data.
- Business Email Compromise (BEC): A high-value scam where a criminal impersonates a CEO or high-level executive via a “spoofed” email address to trick a staff member into making an urgent, unauthorized wire transfer.