B10 · Pillar B · Spending Efficiency
Improper payment reduction
Federal-wide effort to cut overpayments and payments to ineligible recipients across Medicare, Medicaid, EITC, unemployment insurance, and procurement, through payment-integrity systems, data-matching, and modernized verification. GAO documents $200–$250 billion in annual improper payments.
- 10-year fiscal
- −$300BSavings
- Implementation
- Years 1–10
- Middle class
- Neutral to positive
- Planetary
- Neutral
$150B–$400B · Medium confidence
Reducing fraud preserves program legitimacy without cutting eligible benefits.
No material climate effect.
Global precedent
OECD public-integrity standards; UK Government Counter Fraud Function (2019).
Lead mechanism
OMB; CMS, USDA, Treasury, Labor.
Bipartisan framing
Broadly bipartisan. Standard government-integrity reform.
Figures in this framework are illustrative directional estimates derived from publicly available data and conventional Congressional Budget Office budget-window logic. They are not official CBO scores. Any provision adopted from this framework would require formal CBO scoring before legislative consideration. This document is a policy white paper, not an introduced bill.