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The Rise of GLP-1 Fraud in Medicare, Medicaid, and Commercial Insurance: Data Driven Approaches to Investigations

Posted by IntegrityM | | Data Analytics, Insights Hub, Uncategorized

The booming demand for GLP-1 receptor agonists such as Ozempic, Wegovy, and Mounjaro, used for weight loss and Type 2 diabetes, has sparked a surge in fraudulent activity across Medicare, Medicaid, and commercial insurance. From inappropriate prescribing and billing anomalies to falsified diagnoses, payers are confronting an emerging fraud scheme that demands both advanced data…

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