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The White House is calling for a “more aggressive strategy” to reduce improper payments made by Medicare and the Affordable Care Act (ACA), according to a letter made public to the Department of Health and Human Services (HHS).

The Center for Public Integrity obtained the February letter — written by Office of Management and Budget Director Shaun Donovan and addressed to HHS Secretary Sylvia Mathews Burwell — after a Freedom of Information Act lawsuit.

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