In 2019, thirty percent of the money spent on healthcare in the U.S. was wasted through inappropriate care levels, unnecessary procedures, abuse, fraud, and other deviations from established standards of care. Mary Ann Seibold, who worked four years reviewing care given to Medicare Advantage patients explains how she went from Medicare watchdog to LNC and also the vital watchdog nature that utilization management plays in attempting to keep down the cost of wasteful medical activity.