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Mehmet Oz: “The magnitude of fraud that we believe is approximating $4…”

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

Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California

Published January 17, 2026 | Video Starts at 00:44

He oversees programs that constitute a quarter of the entire US Federal budget. They're also buying the beneficiary numbers from Medicare patients. There's a market for that. The magnitude of fraud that we believe is approximating $4 billion just in hospice and home health care [in California]. As we near the one year mark of the Trump administration, we discuss their efforts to cut waste, lower drug prices, and transform health in America. (00:44–00:52)

CLAIM

Asserts that fraud in California's hospice and home health care is approximately $4 billion.

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

“We cover 53% of children [through Medicaid].”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 02:38-02:41
“There were 400 businesses running out of [the Griggs Building] in the last couple years that had generated about $380 million of bills for…”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 08:02-08:13
“In South Florida, we have Durable medical equipment fraud. DMEs give out wheelchairs and canes, knee braces. We have more of these…”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 12:11-12:26
“When the Department of Justice goes after some of these groups, as I was involved in a an announcement earlier this year in 2025, about a…”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 13:10-13:28
“Americans have been paying three times more than Europeans and other developed nations for the exact same drugs.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 16:50-17:02
“In America, we're paying 0.8% of our GDP for medications. In many parts of Europe, it's 0.2, 0.3, significantly less.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 20:18-20:26
“About 10% of all of the new billing in home and health care in the country seems to be taking place in LA.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 27:30-27:46
“By federal law, if I give you Medicaid, if I qualify you for Medicaid, I must also offer you the right to vote by law.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 28:49-28:59
“The magnitude of fraud that we believe is approximating $4 billion just in hospice and home health care.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 00:44-00:52
“Medicaid was created with Medicare in 1965. It is the ultimate payer of last resort.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 02:09-02:16
“Medicare and Medicaid were created in 1965 to make sure we did have a social safety net for health care.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 09:58-10:05
“The organization I run doles out about $1.75 trillion a year.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 11:08-11:14
“The Cuban government, we believe, and this has been an accusation made by the mayor in Miami, might be involved in some of these efforts.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 12:30-12:37
“For decades, Americans have been paying three times more than Europeans and other developed nations [for the same product].”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 16:52-16:58
“The market cap, the value of the stocks of the pharmaceutical companies have not plummeted. In fact, they seem to have gone up a little bit…”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 20:49-21:01
“Pharmaceutical industry leaders are willing to work with Congress to find a solution.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 21:04-21:12
“We're asking Congress to codify [the solution], make it permanent.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 21:17-21:23
“Doctors are being paid to send people inappropriately to hospice.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 23:05-23:10
“If you're put into hospice, you actually give up the rest of your healthcare protection.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 23:12-23:18
“We've gotten seven times more hospice in California over the last several years.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 23:54-24:00
“The aggregate just in LA county, we think is between a half to $4 billion.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 27:30-27:46
“We're seeing fraud around hospice and home health care in New York, in Arizona, we're seeing it in Texas.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 27:58-28:06
“We are rebuilding the infrastructure that would audit these because it was pretty much gutted in the last administration.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 28:28-28:36
“This might be part of a much larger scheme to change how we elect our officials.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 29:29-29:35
“We have three basic ways that we can regulate and regulate.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 30:38-30:42
“We have the ability to pass laws that could be difficult for you to deal with.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 31:28-31:32
“We have rulemaking, which means I can write as a head of cms, that from now on, here's how we're going to pay, and here's what we're going…”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 31:31-31:41
“It saves about 20% of health care dollars if you appropriately do prior authorization.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 34:49-34:55
“A gold card is a license to practice without prior authorization.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 35:21-35:25
“The industry did this voluntarily. Now we're checking obviously trust fund verify to make sure they're doing the right things.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 36:08-36:15
“The tech transformation of CMS will allow us to meet patients where they are.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 37:07-37:16
“We are rebuilding the basic infrastructure of how the system works.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 38:14-38:19
“Every major company, incumbent insurgent that you can think of that's involved in health technology is a signatory.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 38:23-38:30
“There will be within this year apps that if you have metabolic syndrome, diabetes, the companies will be able to build these tools.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 38:37-38:46
“We'll pay for it as long as it delivers better outcomes.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 38:49-38:53
“We have created an entire ecosystem to bring technology, including artificial intelligence, into Medicare and Medicaid.”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 38:56-39:04
“By bringing health care kicking and screaming into 2026, we're going to allow it to be developed same efficiencies and the same systemic…”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 39:27-39:38
“If we don't fix the current health care financial system in this country, we will end up becoming a big health care system with a small…”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 40:22-40:31