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Mehmet Oz: “Medpax was estimating 6 billion just in low value care…”

Featuring: Mehmet Oz, Republican | Administrator of the Centers for Medicare & Medicaid Services | National

Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz

Published July 10, 2025 | Video Starts at 1:12:16

That's a big deal. What's the percentage you gave for waste? 30% is what I've heard. Yeah, it's a massive number. I mean Medpax was estimating 6 billion just in low value care, there's not even waste. That's care that's appropriately given, but just not much back for it. You were saying something? Yeah, just talking about fraud and waste. (1:12:16–1:12:22)

CLAIM

Asserts that Medpax estimated $6 billion in low-value care.

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Mehmet Oz

“91% [of Medicaid patients] have smartphones.”
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“$15 [billion] was attempted to be stolen from our country by mostly foreign operatives.”
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“We only paid out about $3 billion. Only 15 billion was what was efforted. They stole about 20% of it.”
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“One half of all the money, more than one half, all the money that the federal government recovers for fraud, waste and abuse is from CMS and…”
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“You know how many engineers CMS has? 13.”
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“49% of doctors respond to prior auth requests with paper.”
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“I've been up most of the night dealing with the reconciliation bill, which is making its way through the Senate.”
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“Many of the issues that are being raised by senators and me talking to Congressmen as well, since they'll be next, hopefully are the ones…”
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“The number one increasing budget item in most states is Medicaid.”
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“Nationally we are dealing with the reality that we spend twice as much per capita on health care than any other country.”
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“Last year Medicare fee for service grew 9%.”
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“We doubled our expenditures in [Medicaid] in the last five years.”
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“We released the trust fund data for Medicare and the prediction now that we don't have 10 years of runaway, we have seven years of runaway.”
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“The worst case scenarios have the [Medicare] system going bankrupt, the trust fund part a going bankrupt in 2029.”
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“The United States [has] a shorter life expectancy than European countries by about five years.”
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“It is our belief that we will have a minimal viable product available within a year that will allow us to talk to patients on a smartphone.”
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“We were able to bring together the large insurance companies in America. They represented in the room about 75% of all covered lives in…”
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“These folks voluntarily agreed to completely revisit and if necessary, revamp prior authorization.”
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“Insurance companies got together and said, we agree we've got 15, 16,000 common procedures. We have maybe 6,000 that get prior auth, but…”
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“They committed by the end of this year to be able to revamp prior authorization.”
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“This was the largest action ever in our country for fraud, waste and abuse.”
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“One half of the money we recover at CMS is driven by tips received from whistleblowers.”
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“This is the 10th anniversary of Macra and we've learned about MIPS, we've learned about the APMS, we've learned a lot.”
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“Number of physicians and advanced payment models is increased. I think it was 125,000 people when the program started 10 years ago. Now…”
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“With that in mind, I want to take you deeply into an area that we think is fundamentally important to this movement and that is the…”
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“I was told not to talk to the big EMRs because they don't want interoperability.”
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“I guess I'm suspecting 85% of doctors have EMRs.”
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“I mentioned earlier that we want to give patients the right to opt out.”
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“We've spoken to the largest AI companies on the planet. They all assure us the Gentek AI is here.”
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“If I see someone at six in the evening with a cough, I don't have to figure out how to schedule an X ray with their insurance company.”
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“The penalty for not unlocking [healthcare] data becomes even greater.”
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“The two biggest predictors of cost and quality because they are linked, are not having another person in your life [and] loneliness.”
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“There was a cardiologist in Nevada and Georgia seeing a patient at the same time in person.”
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“There was a clinic that was billing millions of dollars for skin substitutes. The clinic was a psychiatrist clinic, mental health clinic…”
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“Foreign governments are trying to hurt America and they're using CMS to get to our most vulnerable to steal from us.”
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