JR and Ali Show: The Medicare Advantage Black Hole with Mike Sacca

In this episode of The JR & Ali Show special guest Mike Sacca, a senior thought leader in federal healthcare contracting with over 40 years of experience, joins the conversation. Together, they dive deep into the evolving landscape of fraud prevention at CMS, the future of Medicare Advantage oversight, and how industry and government can better collaborate to prevent abuse before it happens. Mike shares candid thoughts on CMS’s Fraud Detection Operation Center (FDOC) and the much-talked-about “crushing fraud” initiative, while offering sharp critique on missed opportunities and the $66B+ black hole in Medicare Advantage funding. The conversation also unpacks CMS’s budget reductions, the future of the MIDS and RMADA IDIQs, and the balancing act between provider burden, real-time fraud detection, and the need for innovation. For small and mid-tier companies wondering where to lean in, Mike offers straight talk on how to position strategically in a tightening market — from cost competitiveness to teaming for future IDIQ opportunities. Hosted by JR Glass, President of GovCon Growth Solutions, and Ali Steer, President of Steer Operational Solutions, this conversation highlights the importance of agility, relationship-building, and mission alignment in today’s federal health environment. If you'd like to reach out to JR, connect with him on LinkedIn. | Learn More About GovCon Growth Solutions here. If you'd like to reach out to Ali, connect with her on LinkedIn. | Learn More About Steer Operational Solutions here. If you'd like to reach out to Mike, connect with him on LinkedIn. | If you liked listening to this episode, click here to view more in this series. To view all of our podcast series, visit our podcast page.