Report: Fraud, payment errors cost U.S. up to $521B yearly

Summary

Fraud and payment errors may cost the U.S. government up to $521 billion each year, with Medicare accounting for the largest share, GAO reports.

Why this matters

The findings raise concerns about oversight of public funds and highlight the need for stronger safeguards to reduce fraud and payment errors in federal programs.

The federal government may be losing as much as $521 billion annually to fraud, according to a report from the Government Accountability Office (GAO) that analyzed data from fiscal years 2018 through 2022. During the same period, total estimated losses ranged from $233 billion to $521 billion each year.

Improper payments—defined as payments made in error or in incorrect amounts—have totaled about $2.8 trillion since 2003, the GAO said. In fiscal year 2024 alone, federal agencies reported $162 billion in improper payments across 68 programs. Five areas—Medicare, Medicaid, Supplemental Nutrition Assistance Program (SNAP) benefits, Earned Income Tax Credits, and the Restaurant Revitalization Fund—accounted for 75% of that total. Medicare alone made up about 34% of the reported improper payments.

The GAO report evaluated the potential for artificial intelligence to help detect and prevent fraud but warned that AI should not be viewed as a standalone solution. It emphasized the need for accurate, reliable data and human oversight to avoid amplifying errors.

The report also recommended actions independent of AI, including making permanent a requirement for the Social Security Administration to provide full death data to the Treasury Department’s “Do Not Pay” system. This measure is aimed at preventing payments to deceased individuals.

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