Medicare Advantage Organizations and Prescription Drug Plans Paid $72 Million During a 3-Year Period for Services Associated With Excluded Providers or Individuals Convicted of Certain Felonies

In a report released October 1, 2026, HHS OIG said Medicare Advantage organizations and prescription drug plans paid $72 million over three years for services associated with excluded providers or individuals convicted of certain felonies. The report quantifies avoidable spending and highlights oversight gaps in screening and payment controls within Medicare Advantage and Part D. It adds a distinct cost angle beyond prior posts by focusing on improper payments tied to excluded or criminally disqualified actors.