The Centers for Medicare & Medicaid Services (CMS) and its Center for Program Integrity (CPI) recently released their “Report to Congress Medicare and Medicaid Integrity Programs for Fiscal Year (FY) 2024”, publicly released in September of 2025, showcasing significant progress in safeguarding the integrity of federal healthcare programs and taxpayer dollars. In FY2024, CMS’s program integrity efforts generated an estimated $26.3 billion in Medicare savings and $1.5 billion in Medicaid and CHIP federal share savings. Such cost savings reflect a robust commitment from CMS to protecting taxpayer dollars, ensuring beneficiaries receive high-quality care, and supporting the long-term sustainability of public health programs.
As a prime contractor on a top-6 Medicare Program Integrity Savings contract, J29, Inc. (J29) is proud to protect taxpayer dollars through critical work ensuring that fraud, waste, and abuse preventions are prioritized in such important government programs. J29 supports the processing, review, adjudication, and analysis of medical claims, code sets, and audits that are focused on prevention fraud, waste, and abuse – services associated with programs contributing $686 million in taxpayer cost savings.
The CMS Report to Congress also details CMS’s multi-pronged strategy, which includes advanced data analytics, provider enrollment screening, targeted audits, and robust collaboration with law enforcement. These measures have contributed to a steady decline in improper payment rates and have strengthened the integrity of both Medicare and Medicaid programs. CMS continues to modernize its approach, leveraging technology and cross-agency partnerships to stay ahead of emerging risks.
Compared to FY2023, CMS achieved notable improvements that are reflective of an exceptionally strong commitment to protecting taxpayer dollars. Medicare program integrity savings increased from $25.0 billion in FY2023 to $26.3 billion in FY2024, while Medicaid and CHIP federal share savings remained strong at $1.5 billion. Additionally, the Medicare Fee-for-Service improper payment rate continued its downward trend, dropping from 7.38% in FY2023 to 7.66% in FY2024, demonstrating the effectiveness of CMS’s ongoing efforts to reduce waste and improper payments.
This year’s report stands as a testament to the extraordinary dedication and expertise of CMS and the Center for Program Integrity (CPI). The unwavering commitment from CMS to innovation, accountability, and collaboration has delivered measurable results that benefit millions of Americans and safeguard the nation’s healthcare resources. The FY2024 savings not only reflect CMS’s leadership in combating fraud and waste, but also set a new benchmark for excellence in public program stewardship.
