DBA candidate Kevin Krantz will defend his dissertation in which he investigates state-level Medicaid fraud metrics from 2010 to 2022 to evaluate how structural and policy changes, particularly rising managed care enrollment and the implementation of the 2010 Affordable Care Act and the 2016 Managed Care Final Rule, have shaped enforcement outcomes. The results indicate that states with higher managed care penetration and lower investigative staffing experienced declines in enforcement actions but greater financial recoveries when fraud was detected, suggesting that privatization may reduce consistency while amplifying the scale of recoveries from large, uncovered schemes. The results indicate that states with higher managed care penetration and lower investigative staffing experienced declines in enforcement actions but greater financial recoveries when fraud was detected, suggesting that privatization may reduce consistency while amplifying the scale of recoveries from large, uncovered schemes.