Trump administration launches fraud review of federal health plans

Federal health benefits oversight tightens to curb fraud, waste, and overbilling OPM boosts audits and pharmacy checks to protect taxpayer dollars and improve accountability

The Trump administration is tightening oversight of federal health benefits programs that cover millions of workers, retirees, and family members, according to Fox News Digital. The effort targets insurers in the Federal Employees Health Benefits and Postal Service Health Benefits programs, along with pharmacy benefit managers and subcontractors. The Office of Personnel Management said the new guidance calls for stronger fraud prevention, payment review, audit, reporting, and pharmacy oversight. Officials said the goal is to better protect taxpayer dollars and improve accountability in a program that cost about $70 billion in fiscal 2024. The administration is also expanding data analysis and audit work with OPM’s inspector general to identify fraud, waste, and overbilling. The move follows broader federal efforts to crack down on waste and abuse in health programs, including Medicaid reviews.