IssueFraud, waste, abuse, and payment integrityWhether Medicare should use prepayment review, risk scoring, predictive analytics, AI, beneficiary alerts, provider screening, outlier lists, or targeted prior authorization to reduce improper billing and low-value spending while preserving access.Bills connected to this issueH.R.3996: Medicare Transaction Fraud Prevention ActHR5768: Skin Substitute Access and Payment Reform ActS2066: Medicare Transaction Fraud Prevention ActHRES1310: Expressing support for continued efforts to safeguard Medicare, Medicaid, and other Federal health care programs from fraud, waste, abuse, and improper payments through strengthened program integrity measures, enhanced oversight, and coordinated enforcement actions, and recognizing the work of the Trump administration and congressional Republicans to investigate and prosecute fraud and protect taxpayer dollars and preserve the long-term sustainability of the Nation's health care safety net.Connected issuesOriginal Medicare prior authorization and AI review
