HHS Office of Inspector General

GAO reports $162 billion in improper payments across 68 federal programs in FY2024, down from FY2023 due to COVID program wind-downs, but 75% concentrated in five key areas with persistent weak documentation and eligibility controls.[web:53] CMS details $31.7B in Medicare FFS, $19.1B in Part C, and $31.1B in Medicaid improper payments for FY2024, primarily from insufficient documentation.[web:54] HHS OIG October 2024 audit reveals Medicare Advantage plans using questionable health risk assessments to inflate payments by billions, confirming ongoing overpayments.[web:61] FY2025 estimates rise to $186B government-wide.[web:23]

As of March 22, 2026, comprehensive searches across web and X yield no new federal OIG grant fraud audits, GAO FY2025 improper payments reports, or major scandals since March 21. State-level Medicaid fraud cases continue, including Ohio indictments of 10 providers and Dr. Oz's escalation of claims against Minnesota, but these do not involve new federal grant-specific revelations. Proactive federal and state measures, such as the March 19 Executive Order on Fraud Task Force and Minnesota's CMS-approved anti-fraud plan, remain in place without updates indicating setbacks.

Comprehensive searches of web sources, official OIG websites, and X platforms reveal no new Inspector General reports or audits since mid-February 2026 exposing billions in no-bid, sole-source, or noncompetitive contract waste. Specific audits like DoD OIG's DODIG-2026-043 on Army Ukraine contracts (completed January 14, 2026) and Project D2026-D000AU-0033.000 on sole-source cloud awards remain without public findings or updates [web:3][web:4][web:5][web:23]. Prior evidence claims appear to reference historical or unverified incidents, with ongoing DOGE terminations and SBA actions but no fresh IG confirmations of massive waste.