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United States General Accounting Office Medicare Management CMS Faces Challenges in Safeguarding Payments While Addressing Provider Needs Statement of Leslie G. Aronovitz, Director, Health Care - Program Administration and Integrity Issues In fiscal year 2000, Medicare made payments of over $220 billion to hundreds of thousands of providers who delivered services to nearly 40 million beneficiaries. Because of Medicare's vast size and complex structure, in 1990 we designated it as a high-risk program that is, at risk of considerable losses to waste, fraud, abuse, and mismanagement and it remains so today. Since that time, we have consistently reported on . . .

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