Healthcare

Hospital pricing fraud, insurance denials, pharmaceutical markups traced to CMS and HHS data.

11177 findings0 data gaps remaining2 connected issues

Key Research

Data points sourced from federal databases and government records.

Healthcare Is Largest Driver of Federal Spending Growth

Source: CBO Budget Projections; CMS National Health Expenditure Data; GAO FY2024 Improper Payments Report

Combined CMS improper payments exceed $88B in FY2025

Source: CMS FY2025 Improper Payments Fact Sheet; GAO-25-107743; SBUSA #998

2024 NHE growth of 7.2% marks highest consecutive personal healthcare growth since 1991-92

Source: CMS NHE / Health Affairs Jan 2026; HFMA Analysis

UnitedHealth Group Dominance: $400.3B Revenue, 40% from CMS

Source: UHG SEC 8-K Jan 16, 2025; UHG 10-K FY2024

Three largest PBMs control 80% of health market

Elevance Health FY2024 financial breakdown

Source: Elevance 10-K/8-K FY2024 (SEC Edgar); Elevance Earnings Release Jan 2025

War Plans

War Plan in development. We are analyzing 11177 findings to build comprehensive solutions for Healthcare.

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