Who can commit fraud, waste, and abuse?

Fraud, waste, and abuse can be committed by a variety of parties in the healthcare system, which is why the choice indicating that both consumers and agents is the most accurate. Consumers may engage in fraudulent activities, such as providing false information on applications or seeking unnecessary medical services for financial gain, reflecting their potential to contribute to these issues. Similarly, agents and brokers might engage in unethical practices, such as misrepresenting insurance products or receiving kickbacks for steering clients towards certain plans.

This dual possibility means that both groups are capable of committing acts of fraud, waste, and abuse, underlining the importance of monitoring and compliance mechanisms in the healthcare sector to mitigate these risks. This understanding is crucial for grasping the broader implications of ethics and accountability in the industry.