What You Need to Know About Elon Musk's DOGE's Access to Medicare Systems
Officials at Musk-led DOGE were given access to agency data systems and technology at the Centers for Medicare and Medicaid Services (CMS), an agency with a $2 trillion budget.


Representative's of Elon Musk's Department of Government Efficiency (DOGE) have been working at the Centers for Medicare and Medicaid Services (CMS), where they were given access to agency data systems and technology, CMS said in a statement earlier this week.
DOGE has been given access to systems with the Department of Health and Human Services, including the Centers for Medicare and Medicaid Services (CMS), as it looks for what it says is waste and fraud in government. The news was first reported by the Wall Street Journal.
Late last month, DOGE gained access to the U.S. Treasury's federal payment system, a system that disburses trillions of dollars each year for programs that include Social Security and Medicare. (Read our story about Musk's access to the U.S. Treasury).

Sign up for Kiplinger’s Free E-Newsletters
Profit and prosper with the best of expert advice on investing, taxes, retirement, personal finance and more - straight to your e-mail.
Profit and prosper with the best of expert advice - straight to your e-mail.
To ease tension that could come with Musk's access to yet another government agency, two CMS agency veterans, one focused on policy and one focused on operations, are working alongside DOGE officials to ensure appropriate access to systems and technology, as well as spending that flows through them.
“We are taking a thoughtful approach to see where there may be opportunities for more effective and efficient use of resources in line with meeting the goals of President Trump,” the CMS statement said.
According to the Wall Street Journal, DOGE's access is "read-only," which means that DOGE affiliates cannot make changes to the systems. The WSJ also reported that no access has been given to databases that include identifiable personal health information of Medicare or Medicaid enrollees. That's good news to the millions currently enrolled in these programs.
DOGE officials are focusing on what they say consists of waste and fraud, while also examining departmental staffing at the Centers for Medicare and Medicaid.
Medicaid, which is funded jointly by states and the federal government, provides health insurance to millions of people, including low-income adults, children, pregnant women, elderly adults, and people with disabilities, per the HHS website. Medicaid spending is expected to increase by 3.9% in 2025. At the state level, spending is expected to rise 7%, according to KFF.
This past Wednesday, in a post on X, Musk wrote: "Yeah, this is where the big money fraud is happening," referring to the Centers for Medicare and Medicaid Services, while reposting another user who referenced the Journal's report.
When asked about DOGE accessing CMS payment and contracting systems, representatives for the White House did not address specifics, as stated in the WSJ report. Still, they defended Musk and DOGE's actions overall, saying they were fulfilling Trump's commitment to make the federal government more accountable. "The people won't be affected," Trump said.
Earlier Government Accountability Office report findings
This past April, in a report by the Government Accountability Office (GAO), concerns were raised about payment errors in Medicare and Medicaid. Known as "improper payments," these are payments that are either made in an incorrect amount or should not have been made at all.
The GAO estimated that the Department of Health and Human Services had a combined total of over $100 billion in improper payments in fiscal year 2023, representing 43% of all improper payments across all federal agencies. At that time, the GAO stressed the need for the federal government to strengthen its efforts to prevent these improper payments, which could include billing errors, fraud and/or overpayments.
Related Content
Get Kiplinger Today newsletter — free
Profit and prosper with the best of Kiplinger's advice on investing, taxes, retirement, personal finance and much more. Delivered daily. Enter your email in the box and click Sign Me Up.

For the past 18+ years, Kathryn has highlighted the humanity in personal finance by shaping stories that identify the opportunities and obstacles in managing a person's finances. All the same, she’ll jump on other equally important topics if needed. Kathryn graduated with a degree in Journalism and lives in Duluth, Minnesota. She joined Kiplinger in 2023 as a contributor.
-
How to Get Apple TV Plus for just $2.99
For a limited time, you can get three months of Apple TV Plus for just $2.99 per month. Here’s how to get the deal.
By Rachael Green Published
-
Stock Market Today: Stocks Surge to Close a Volatile Week
It was another day with a week's worth of both news and price action, but it ended on a strongly positive note.
By David Dittman Published
-
What 401(k) Savers Near Retirement Can Do Amid Market Volatility
Whether retirement is years away, a year or two out, or in the rearview mirror, here's how to handle uncertainty in your 401(k).
By Donna Fuscaldo Published
-
Could You Retire at 59½? Five Considerations
While some people think they should wait until they're 65 or older to retire, retiring at 59½ could be one of the best decisions for your quality of life.
By Joe F. Schmitz Jr., CFP®, ChFC® Published
-
Markets Roller Coaster: Resist the Urge to Make Big Changes
You could do more harm than good if you react emotionally to volatility. Instead, consider tax-loss harvesting, Roth conversions and how to plan for next time.
By Frank J. Legan Published
-
Tariffs Are Paused: Here's What Retirees Should Stock up on Now
The massive China tariff is still in place, but others have been paused for 90 days. That gives retirees a window to stock up on some goods.
By Maurie Backman Published
-
Retired and Worried About a Recession? Six Ways to Prepare
Retirees can plan for a near-term recession with a range of strategies, from small investment changes to significant lifestyle hacks.
By Maurie Backman Published
-
Going Through Probate? How to Find the Right Attorney
Just having the skills and experience to do the job isn't enough. The probate attorney you hire needs to have the right temperament for your particular case.
By John R. Silva, Esq. Published
-
Widow's Penalty: Three Ways to Protect Your Finances
Higher Medicare premiums, smaller Social Security payments, bigger tax bills … Financial changes can hit hard when a spouse dies. How to counter the blow.
By Ashley Terrell, IAR Published
-
You're Stuck Taking RMDs: Now What?
When you've got to take required minimum distributions (RMDs) make some lemonade. Here are our top ideas for using the extra cash to enrich your life — or that of others.
By Maurie Backman Published