Anthony Caporaso - Insurance Agent-Broker

09/08/2026

Based on the emails from CMS, here are the statistics regarding various fraud, waste, and abuse (FWA) initiatives:

Medical Equipment (DMEPOS) Fraud
• $3.4 Billion Scheme: In September 2026, CMS identified 11 medical supply companies involved in $3.4 billion of suspected fraudulent billing.
• Preventive Action: CMS prevented $1.5 billion in suspected fraudulent DMEPOS billing in 2025.
• 2026 Suspensions: Over $226 million in suspect DME billing was suspended in 2026.
Laboratory Fraud
• Total Enforcement: Over $1.6 billion in potentially improper Medicare laboratory payments has been stopped.
• Breakdown of Actions:
o $732 million saved from the revocation of 157 fraudulent labs.
o Over $500 million in potentially fraudulent payments halted via 185 payment suspensions.
o $276 million recouped from 442 identified overpayments.
o $127 million prevented due to 85 law enforcement referrals.
Medicaid Fraud War Room (MFWR)
• Impact: Stopped more than $203.3 million in improper payments in its first 88 days (launched April 2026).
• Provider Oversight: Identified 50 unique high-risk providers.
• Enforcement Details:
o $160.7 million in Medicaid payments targeted via 42 federal notices of intent to exclude providers.
o $46.2 million in Medicaid payments addressed through 15 state enforcement actions.
Hospice and Home Health Agency (HHA) Enforcement
• LA Pilot: Suspended $70 million in payments to 773 hospices and 23 HHAs.
• National Impact: An additional $23 million in payments were suspended for suspect hospice providers nationally in 2026.
Minnesota Medicaid Funding Deferral
• Deferral Amount: In February 2026, CMS deferred $259.5 million in federal Medicaid funding to Minnesota due to program integrity concerns.
2025 Fiscal Year Overview
• Total Savings: CMS achieved $42 billion in savings.
• Payment Suspensions: $5.7 billion in suspected fraudulent Medicare payments were suspended.
• Provider Accountability: Billing privileges for 5,586 providers and suppliers were revoked.
• Law Enforcement: 372 fraud referrals were made, representing $3.7 billion in billing.
2026 Year-to-Date (Performance Metrics)
• Overpayments Identified: $1.8 billion identified via medical review.
• Recouped Funds: $378 million collected from post-payment reviews.
• Payment Suspensions: Over $539 million in suspected fraudulent Medicare payments suspended.
• Fraud Defense Operations Center: Accounted for over $371 million in suspended payments involving 267 providers since January 1, 2026.

09/08/2026

Over the past 8 months, I’ve been following CMS notices related to fraud, waste, and abuse across Medicare and Medicaid—and the numbers are eye-opening. CMS has identified or stopped billions of dollars in suspected fraudulent billing, suspended hundreds of millions in improper payments, and increased oversight of thousands of providers and suppliers.
What stood out to me most is how broad these efforts are—from DMEPOS medical equipment fraud and laboratory fraud to Medicaid program integrity, hospice and home health enforcement, and broader 2025–2026 fraud prevention initiatives. CMS reported $42 billion in FY2025 savings, $5.7 billion in suspected fraudulent Medicare payments suspended, and more than $539 million in suspected fraudulent Medicare payments suspended so far in 2026.
I believe program integrity matters because it protects taxpayer dollars and helps ensure Medicare and Medicaid resources remain available for the patients, families, and providers who truly depend on them.
If you’re a Medicare beneficiary, caregiver, provider, or simply someone who cares about protecting healthcare resources, don’t ignore these updates. Reach out with questions, share this post with someone who should see it, or call me directly at 941-363-1153 to talk about what these CMS actions may mean.

08/29/2026

08/11/2026

Not all retirement money needs to chase the market.
Some money is meant to:
✔ protect principal
✔ grow steadily
✔ avoid market losses
There are strategies designed specifically for this.
If safety + predictability matters to you, let’s talk.

06/26/2026

ACAP Insurance is expanding — and I’m proud to now help clients with every stage of their health and retirement needs.

With nearly 10 years of experience, a background at the Social Security Administration, and a Bachelor’s degree in Finance & Economics, I’m bringing deeper expertise to the people I serve.

I now assist with:
• Medicare
• ACA (Marketplace) health plans
• Short‑term & bridge coverage
• Life insurance
• Annuities
• Retirement planning guidance

No matter your situation, I’m here to make the process simple, honest, and personalized.

📞 941‑363‑1153
📧 [email protected]
Serving Punta Gorda & clients nationwide.

06/26/2026

🚨 Big News from CMS: Major Crackdown on Fraud, Waste & Abuse 🚨

Medicare and Medicaid are seeing some of the strongest anti‑fraud actions in years — and that’s good news for beneficiaries and taxpayers.

Here’s what CMS is doing right now:

✅ Record savings: $41.9 BILLION recovered in FY 2025 — the highest ever
✅ AI-powered fraud detection: catching suspicious billing before payments go out
✅ Crackdown on duplicate enrollments: 2.8 million cases identified across states
✅ Moratorium on high‑risk providers: including home health, hospice & certain DME suppliers
✅ More audits, more oversight, more accountability

Bottom line: CMS is tightening the system to protect seniors, reduce improper payments, and keep Medicare strong.

If you ever have questions about your Medicare coverage — or want to make sure you’re enrolled correctly — I’m here to help.

📞 941‑363‑1153
📧 [email protected]

05/06/2026

Along with your Medicare review, I also help clients with safe retirement options and final expense planning. If you’d ever like to look at those, I can walk you through it.