Dr. Oz, the Administrator at the Centers for Medicare and Medicaid (CMS), has been laser-focused on combatting Medicaid waste, fraud, and abuse. Over the past month, he has travelled to Minnesota and California to highlight egregious home health and hospice schemes. One often overlooked scheme is the abuse of intergovernmental transfers (IGTs). CMS should put a stop to how states use IGTs to favor government-operated providers at patients’ and taxpayers’ expense.