A new issue brief explains that while Medicaid home care — which serves over 5 million people with disabilities and older adults — does carry a higher risk of fraud due to the in-home nature of services, federal and state governments have implemented significant safeguards including electronic visit verification and data analytics, and fraud convictions in this area have actually declined since those tools were put in place. The piece cautions that Centers for Medicare & Medicaid Services (CMS) provider spending data can easily lead to misleading conclusions because it lacks important context and excludes major spending categories like hospitals.

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