Zalma’s Insurance Fraud Letter – July 15, 2018

  July 15, 2018

CMS Efforts to Slow Medicare & Medicaid Fraud

CMS seems to finally be taking Medicaid and Medicare insurance fraud seriously. The statements following come from a CMS fact sheet that outlines what they are trying to do and may have some relationship to the massive arrests of health care providers by the Department of Justice last month as reported in ZIFL

The last several years have seen a rapid increase in Medicaid spending driven by several factors, including Medicaid expansion, from $456 billion in 2013 to an estimated $576 billion in 2016. Much of this growth came from the federal share that grew from $263 billion to an estimated $363 billion during the same period. With this historic growth comes an equally growing and urgent responsibility to ensure sound stewardship and oversight of our program resources. As part of CMS’s plan to reform Medicaid using the three pillars of flexibility, accountability and integrity, we are announcing a new strategy to ensure we are keeping the Medicaid program sustainable for our future.

The Current Issue Contains the Following

  • CMS Efforts to Slow Medicare & Medicaid Fraud
  • Become a Certified Expert in Corporate Property Insurance and a Certified Expert in Corporate Liability Insurance
  • Ireland Finally Funds Fraud Investigation Unit
  • Barry Zalma Speaks at Your Request
  • Allstate Proactive Against Insurance Fraud
  • Guilty in U.K.
  • Good News From the Coalition Against Insurance Fraud
  • Health Insurance Fraud Convictions
  • Other Insurance Fraud Convictions
  • Books by Barry Zalma

New Insurance Books by Barry Zalma

  • Insurance Fraud & Weapons to Defeat Insurance Fraud – Volumes One and Two
  • Rescission of Insurance
  • Ethics for the Insurance Professional
  • Random Thoughts on Insurance – A Collection of Blog Posts from Zalma on Insurance)
  • The Insurance Examination Under Oath
  • The Compact Book on Adjusting Liability Claims
  • The Compact Book on Adjusting Property Claims
  • The California Fair Claims Settlement Practices Regulations.
  • The California SIU Regulations.
  • Passover Seder for Americans” An All English – Easy to Perform – Passover Seder Paperback

Now available as Kindle or paperback books are the following fiction pieces on insurance matters:

  • Heads I Win, Tails You Lose
  • Arson for Profit
  • Murder & Old Lace
  • Murder and Insurance Fraud Don’t Mix
  • Candy & Able – Murder for Insurance Money
  • The Runt – a short story

Now Available from Full Court Press at

Insurance Law Deskbook

California Insurance Law Deskbook

Insurance Bad Faith and Punitive Damages Deskbook

From Thompson Reuters:

Property Investigation Checklists: Uncovering Insurance Fraud, 12th 
Written by Michael H Boyer and Barry Zalma  Available here. 

See all Barry Zalma Books Available on Amazon here.

Are you a lawyer, law firm, independent insurance adjuster or insurer who would you to promote yourself or your firm to more than 200 daily visits by insurance professionals or the more than 2000 subscribers to ZIFL?
If you are, an ad on the blog Zalma on Insurance or Zalma’s Insurance Fraud Letter, to such a selective audience of insurance professionals and management can be more effective than any other form of advertising.
For only $100 a month on the blog or $100 an issue on ZIFL your ad will be permanent and effective.


    Barry Zalma 
    Barry Zalma, Inc.
    (c) 2018, Barry Zalma & ClaimSchool, Inc.


    About Barry Zalma

    An insurance coverage and claims handling author, consultant and expert witness with more than 48 years of practical and court room experience.
    This entry was posted in Zalma on Insurance. Bookmark the permalink.