So maybe, Kim, start off about how you see the two offices really playing off each other and working together.

First of all, that's exactly the right way to think about Jason.

These two are sort of working together and complimentary.

Patrick is still very much our CIO.

He is still very much leading our enterprise wide IT and tech and all the things that he's always been doing.

The way I like to think about it is the new OHTP, as we call it, which went into effect in early June of this year, is supposed to help us be able to modernize a lot of our technology in terms of existing things that we have in place in terms of existing business products.

And then help us build new digital products across all three of our lines of business medicare medicaid in the marketplace.

And I think Kim will probably provide some additional insights to that.

So Kim, tell them what they've won.

Sure.

So thanks, Dr. Oz.

So the issue is really simple here.

Um, fraud in Medicare and Medicaid steals from the taxpayers, it undermines trust, and threatens care for the people who need it the most.

So we've been very, um, clear with our strategy.

We've been aggressive, we've been data-driven, and we've been nationwide.

So, uh, you wanna walk folks, Kim, through what you were able to do?

So Kim, tell them what they've won.

Sure.

So thanks, Dr. Oz.

So the issue is really simple here.

Um, fraud in Medicare and Medicaid steals from the taxpayers, it undermines trust, and threatens care for the people who need it the most.

So we've been very, um, clear with our strategy.

We've been aggressive, we've been data-driven, and we've been nationwide.

So, uh, do you wanna walk folks, Kim, through what you were able to do?

But from a technology, data, analytics perspective, um, how, you know, how are you using that and kind of how does that get you to shift things to be a little suspicious earlier on in addition to the 300 people in the HFPP? Tell me about more of the technology side.

Sure.

Um, I could go on for days, but we'll, we'll start with a few, uh, quick things.

First of all, um, the Fraud Prevention System is really the backbone.

Um, most people know about FPS.

FPS actually started out of my first tour at CMS, so it's kind of a legacy thing, back when we brought all the different contractor databases together to be able to look at fraud across 52 different carrier and physical intermediaries instead of looking at it at each one, which is what we had to do in the old days.

Um, but what it does is it uses machine learning, including supervised learning and random forest classification and graph network analytics, all of which are important to help us evaluate the four to five million Medicare claims that get paid every single day.

You know, so once you look outside of the, the, the dollars that you're saving, which believe me, as, uh, taxpayers, we all appreciate and want the same goal, um, you know, how else are-- do you measure success? Um, you know, and w- what outcomes matter most, um, to you at CMS?

Talk about some of the work you guys have been doing, 'cause you've been doing some pretty big stuff, making a lot of national headlines.

Um, and Dr. Oz, if you follow his social media, um, follow it this week, later this week.

As a teaser, you're gonna see some big stuff, uh, starting Wednesday night, uh, through Friday.

We've got some big stuff happening.

But yes, um, I am super excited about this.

This is, um, this is my third tour at CMS, and the reason I decided to come back was because not only is Dr. Oz incredibly persuasive, as you can imagine, um, but also he, um, agreed, uh, if I was to come back, I said, "I really wanna tackle waste, fraud, and abuse." I don't feel like we've ever gotten it right.

I feel like there's a lot that can be done differently, and I'd really like to go big on it.

I'm gonna ask her, what the heck is a chili cook-off related to technology?" Um, can you talk about that?

So, so how is CMS thinking about hospice within the larger healthcare ecosystem? What policy changes might be on the horizon? And maybe third portion of that question, what should leaders across the hospice field be paying attention to?

Well, first, I really do wanna stress that we view hospice as a vital tool within the Medicare ecosystem.

We wanna make sure that hospice services are available to our beneficiaries, and Dr. Oz and the entire senior leadership team is very committed to ensuring that we're doing what we can to make sure we're providing good, legitimate hospice services and paying for them at the right price.

So I just wanna set that.

That being said, we have had a real challenge, as many of you have seen, over the past, uh, year certainly that I've been back at CMS, and Dr. Oz and I have been focused on this for the better part of, let's say, nine months out of that, 'cause he started a little after me on this, at looking at the fraudulent hospices that are actually, um, taking advantage of the system and giving good hospices a bad name.

Uh, the fact is we really have seen firsthand, thanks to several of your members, we've gone out and visited some hospices.

We've been able to see examples of excellent hospice care.

So I say all that to ask you, like, as you think about the future, my concern would be the lines get erased, in some kind of way hospice gets impacted in a, in a negative way as we redesign the future.