This article examines how Medicaid fraud—such as billing for unprovided or unnecessary services—raises healthcare costs and reduces access to care across the U.S. It evaluates strategies like data analytics, internal compliance programs, and inter-agency collaboration to combat fraud, and offers evidence-based recommendations for strengthening detection and enforcement. Despite current efforts, systemic barriers such as poor coordination and inconsistent provider screening continue to undermine effectiveness, requiring urgent reform.

Game-design elements have provided a sense of motivation and encouragement to many sectors of the healthcare industry, from individual user benefit to mass-campaigning from public health organizations. The gamification of healthcare has been transformative for patient motivation, especially when considering the doctor-patient-administrator relationship. Public health campaigns utilize gamification as a powerful strategy to promote healthy habits, such as mobile programming to encourage vaccinations, as well as online games to maintain hand hygiene. Through investigating both intrinsic and extrinsic behavior, this paper explores how gamification strategies are used throughout healthcare when considering the individual, as well as a population. This paper concludes with an emphasis on the importance of ensuring protective measures are talent to maintain data privacy, as well as inclusivity within socioeconomic statuses are integral to the success of gamification strategies, in order to combat concerns about the ethical concerns that may arise.