That's true to an extent, and those minimal controls are why Medicare also wastes billions on paying fraudulent claims.
https://relentlesshealthvalue.com/episode/ep502-how-some-pre...
They waste billions on fraudulent claims because they don't fund the program well enough to have compliance enforcement or auditing.
Also, I'm not going to trust a podcast owned and operated by Stacey Richter, who also just so happens to be the co-president of Aventria Health Group and QC-Health.
I'm working on a project in an area of healthcare where there was massive Medicare fraud decades ago. Medicare now requires extensive documentation for each claim and the paperwork is so onerous that providers have exited the market and it's very, very difficult to access care.
Yes but the Medicare and Medicaid reimbursement rates are below breakeven so cash and insurance rates have to be above provider breakeven. The main cost frictions are administrative costs for billing on both the insurance and provider sides.