The JR & Ali Show: Kim Brandt on the Future of Program Integrity at CMS

What this episode covers

What does the future of healthcare program integrity look like when fraud is stopped before the money ever leaves the door? On this episode of The JR & Ali Show, CMS Deputy Administrator and COO Kim Brandt shares how the agency is transforming its approach to fraud, waste, and abuse through AI, machine learning, real-time analytics, and unprecedented collaboration across government and industry. Kim discusses CMS’s shift from a traditional “pay and chase” model to a proactive “stop and catch” strategy, the creation of Medicare and Medicaid fraud war rooms, and how technology is helping identify suspicious billing patterns before billions of taxpayer dollars are lost. The conversation also explores the role of interoperability, data sharing, and industry partnerships in building a more connected healthcare ecosystem. Kim offers insight into how CMS balances aggressive oversight with minimizing burdens on legitimate providers, why beneficiary protection remains at the center of every decision, and what the next three to five years could look like as AI becomes embedded across the healthcare landscape. If you want an inside look at how CMS is modernizing program integrity while protecting beneficiaries, providers, and taxpayer dollars, this is a conversation you won’t want to miss. 👉 Connect with the Guests: JR Glass – LinkedIn | GovCon Growth Solutions Ali Steer – LinkedIn | Steer Operational Solutions Kim Brandt – LinkedIn

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