HIT Consultant August 3, 2026
The U.S. health care system loses more than $100 billion a year to fraud, waste, and abuse, and by some estimates several times that. We have known this for decades. What is new is that the technology to catch it has finally caught up. The question is no longer whether the tools work; it is whether the institutions processing and paying the faulty claims will finally use them.
What the system is actually losing
Three different problems get lumped together, so it is worth separating them.
- Fraud is intentional deception: billing for services never rendered, phantom patients, kickback rings. The National Health Care Anti-Fraud Association estimates fraud alone at 3 percent of health spending on the low end, and…
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