Video Ramaswamy details plan to fight Ohio Medicaid fraud Ohio gubernatorial nominee Vivek Ramaswamy outlines his plan to combat Ohio's extensive Medicaid fraud, targeting billions in wasted taxpayer dollars. He vows aggressive investigation and prosecution.
Ohio gubernatorial candidate Vivek Ramaswamy is calling for a sweeping crackdown on his state’s Medicaid program after a report alleged that companies billed millions of taxpayer dollars from vacant offices, including abandoned buildings with piled-up mail, "out to lunch" signs and no visible staff.
"We're going to have to take a deep, hard look at the way the $40-plus billion in state Medicaid dollars are being spent," Ramaswamy told "Saturday in America" host Kayleigh McEnany.
"I think the right answer is any instance of waste, fraud, abuse... deserve[s] to be prosecuted, and we intend to investigate them aggressively, as well as to prosecute aggressively, to send a deterrent signal that our government is not a piggy bank, the taxpayer is not a piggy bank to be bilked."
The remarks came after a report by The Daily Wire that allegedly found 288 home healthcare companies listed at the same addresses, including locations that appeared vacant or in disrepair, with no clear signs of active business operations.
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Vivek Ramaswamy is seen speaking at Turning Point USA's AmericaFest 2025 in Phoenix on Dec. 19, 2025. (Jon Cherry/AP)
Republican Gov. Mike DeWine's office disagreed with the notion of a broader systemic issue.
In a statement to Fox News, they insisted Ohio "has extensive oversight mechanisms in place," noting that these include "Electronic Visit Verification for hourly care, requiring signed daily activity logs, conducting audits and surveys performing background checks on providers, and reassessing medical needs regularly..."
His office also pointed to "internal agency efforts to fight waste, fraud and abuse."
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Ohio Gov. Mike DeWine poses for a group photo with the Ohio Congressional delegation after the ceremonial swearing-in of Sen. Jon Husted in the Old Senate Chamber at the Capitol on Jan. 21, 2025. (Bill Clark/CQ-Roll Call, Inc)
The Ohio Department of Medicaid said in a statement that it is "aware" of the concerns in Franklin County, which houses Columbus, and has been "actively investigating these matters since prior to the publication of The Daily Wire series."
"Upon initial review, some of the entities mentioned in the series are no longer Ohio Medicaid providers or have not billed Medicaid in several years. Some other providers are subject to ongoing investigation," the statement added.
Ramaswamy insists the state has to "look at" where the concern came from.
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"These are downstream policies of an overgrown federal welfare state. That's a big problem," he said.
"We as a country are going to have to deal with it. They're downstream of an open border crisis under [Joe] Biden where for years millions and millions of people were crossing the southern border and finding their way to different parts of the country," he added.
"We can't fix the past. We can fix the future, and one of the things that I intend to do is to just take a dispassionate look at this. It's not just responding to one news story or another as a game of whack-a-mole. The way I look at this is this is more of a broken windows theory, which means that, if you have a broken window somewhere, it's a reminder that we have to take a systematic look at the whole thing."
Ramaswamy said his approach would involve redirecting savings back to taxpayers, with the aim of creating a blueprint for reform nationwide.
Taylor Penley is an associate editor with Fox News.
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