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Mehmet Oz: “One half of the money we recover at CMS is driven by tips…”

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 32:12

But we have to also limit what CMS is able to do so they can actually manage the things that we're good at, the management of people's illnesses. I would encourage you to as just one stat on the fraud side. One half of the money we recover at CMS is driven by tips received from whistleblowers. One half and 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 health fraud. (32:12–32:22)

CLAIM

Asserts that half of CMS's recovered money is due to whistleblower tips.

This is an excerpt from a raw transcript. The assertions have not been audited or verified. Tap the video to view the source footage and understand the context.

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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…”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 32:22-32:31
“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…”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 12:29-12:39
“The number one increasing budget item in most states is Medicaid.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 16:33-16:37
“Nationally we are dealing with the reality that we spend twice as much per capita on health care than any other country.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 16:37-16:44
“Last year Medicare fee for service grew 9%.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 16:51-16:55
“We doubled our expenditures in [Medicaid] in the last five years.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 16:59-17:02
“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.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 18:09-18:18
“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.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 18:52-19:07
“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.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 22:57-23:06
“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.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 27:19-27:27
“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…”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 28:16-28:29
“They committed by the end of this year to be able to revamp prior authorization.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 29:02-29:07
“This was the largest action ever in our country for fraud, waste and abuse.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 30:19-30:25
“This is the 10th anniversary of Macra and we've learned about MIPS, we've learned about the APMS, we've learned a lot.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 38:42-38:52
“Number of physicians and advanced payment models is increased. I think it was 125,000 people when the program started 10 years ago. Now…”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 38:54-39:04
“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.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 54:11-54:16
“The reason I was told, physicians, back to the point, about 49% of us actually responding with paper, the reason I was told that they don't…”
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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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“The second issue, which is you don't read English well.”
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“When the DOJ is telling me that one half of all the money recovery is directly linked to whistleblowers.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 1:09:42-1:09:49
“There was a cardiologist in Nevada and Georgia seeing a patient at the same time in person.”
Make America Healthy: Keynote and Fireside Chat with CMS Administrator Dr. Oz | Uploaded July 10, 2025 | 1:10:01-1:10:08
“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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“Medpax was estimating 6 billion just in low value care, there's not even waste.”
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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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