From The Hill:
Peter Budetti, an attorney with Phillips & Cohen and former CMS deputy administrator, credits whistleblowers with filling gaps in federal oversight.
“Unless we have whistleblowers coming forward explaining what they’ve seen and describing what they’ve seen, it’s hard for me to imagine that the government systems are going to be on top of this in the near future,” he said.
Budetti helped update the agency’s fraud systems during his tenure, which were based on fee-for-service systems. The government is just now starting to make “inroads” on combating fraud in MA and Part D, he said.
“I don’t really feel like we either have had in place in the government systems to recover improper payments appropriately or to burrow behind the improper payments to uncover how much of it is, in fact, fraud,” he told The Hill Extra.
“Whistleblowers fill gaps in Medicare oversight” (Behind a paywall)