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Mehmet Oz: “We'll pay for it as long as it delivers better outcomes.”

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 38:49

There will be within this year apps that if you have metabolic syndrome, diabetes, the companies will be able to build these tools, these apps. You'll be able to use them as a Medicare beneficiary. We'll pay for it as long as it delivers better outcomes. I don't care about engagement. I care about outcomes. And the fact that we have created an entire ecosystem to bring technology, including artificial intelligence, into Medicare and Medicaid are … (38:49–38:53)

CLAIM

Asserts that Medicare will fund apps that deliver better health outcomes.

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

“The magnitude of fraud that we believe is approximating $4 billion just in hospice and home health care [in California].”
Dr. Mehmet Oz: Exposing Up to $4 Billion in Healthcare Fraud in California | Uploaded January 17, 2026 | 00:44-00:52
“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 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