BREAKING: Musk Says His DOGE Team Uncovered $100 BILLION in Medicare and Medicaid Waste After Gaining Access to the System

Medicare currently covers about 68 million Americans, primarily those over 65 and individuals with disabilities, while Medicaid serves approximately 73 million low-income citizens.

By Jim Hᴏft

February 9, 2025

In a bombshell revelation that could shake the foundations of American healthcare, Elon Musk, leading the charge under President Trump’s newly minted Department of Government Efficiency (DOGE), has uncovered what he describes as a staggering “$100B of taxpayer money” wasted by the Centers for Medicare & Medicaid Services (CMS).

On Wednesday, Musk’s team, along with two senior veterans from the agency, has been meticulously reviewing the CMS’s payment and contracting systems, which are crucial for managing health insurance for approximately one in every four Americans, according to far-left USA Today.

Elon Musk's DOGE examines systems at $1.5 trillion Medicare and Medicaid agency

“CMS has two senior Agency veterans – one focused on policy and one focused on operations – who are leading the collaboration with DOGE, including ensuring appropriate access to CMS systems and technology,” the agency said in a statement to Reuters.

Musk's DOGE granted access to US Medicare and Medicaid systems

The DOGE team was granted read-only access to the system.

Their mission, as outlined by Andrew G. Nixon, the HHS director of communications, is to identify “opportunities for more effective and efficient use of resources” in alignment with President Trump’s efficiency agenda.

However, the narrative has quickly escalated from efficiency to accusations of rampant waste and potential fraud.

“This is where the big money fraud is happening,” Musk tweeted on Wednesday in response to a post suggesting that aides using DOGE are searching the Medicare agency payment systems for fraud.

However, the most explosive claim came later on Thursday night when Musk tweeted, “They wasted $100B of taxpayer money!”

This is just the tip of the iceberg.

More fraud will likely be uncovered in this system in the coming days.

CMS made 100 Billion dollars of improper payments in 2023 according to the GAO. That accounts for 43% of all improper payments.

This revelation comes as CMS processes over one billion Medicare claims annually, oversees healthcare quality through hospital and nursing home inspections, and disburses billions in matching funds to states for Medicaid programs.

Medicare currently covers about 68 million Americans, primarily those over 65 and individuals with disabilities, while Medicaid serves approximately 73 million low-income citizens.

According to the Centers for Medicare & Medicaid Services (CMS), from June 2024 through October 2024, CMS suspended 850 agents and brokers’ Marketplace Agreements for reasonable suspicion of fraudulent or abusive conduct related to unauthorized enrollments or unauthorized plan switches.

Fiscal Year 2024 Improper Payments Fact Sheet

These agents and brokers are now prohibited from participating in Marketplace enrollment, including receiving related commissions.

The Department of Justice has also been active in combating healthcare fraud.

In recent years, the average loss associated with the schemes prosecuted by the Health Care Fraud Unit has steadily risen.

In June 2024, the Department of Justice announced charges against 193 defendants, including 76 medical professionals, for their alleged involvement in fraudulent schemes amounting to approximately $2.75 billion in false claims.

Since 2007, the Health Care Fraud Unit has charged more than 5,400 defendants with fraudulently billing Medicare, Medicaid, and private health insurers more than $27 billion.

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