Representatives of Elon Musk’s Department of Government Efficiency have been working at the Centers for Medicare and Medicaid Services, where they have gotten access to key payment and contracting systems, according to people familiar with the matter.

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CMS in particular is a highly politically and economically sensitive agency. It is the nerve center of much of the nation’s complex healthcare economy, with outlays of about $1.5 trillion in fiscal 2024, or about 22% of the federal total. With around 6,710 employees, it oversees Medicare, the health coverage program for older and disabled Americans and Medicaid, for lower-income enrollees, among other areas. Many veteran CMS staffers have worked there for decades.

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Dr. Mehmet Oz, the high-profile physician and former television host, has been nominated to lead CMS, but hasn’t yet been confirmed by the Senate. Several CMS officials who are expected to work under Oz have already taken over at the agency.

Elon Musk’s DOGE Allies Search Medicare Agency Payment Systems For Fraud

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Trump nominates Dr. Oz, who campaigned on privatizing Medicare, for Administrator of Centers for Medicare and Medicaid Services