Tag: care

Eliminating Waste, Fraud, and Abuse in Medicaid My Administration has been relentlessly committed to rooting out waste, fraud, and abuse in Government programs to preserve and protect them for those who rely most on them. The Medicaid program was designed to be a program to compassionately provide taxpayer dollars to healthcare providers who offer care to the most vulnerable Americans. To keep payments reasonable, billable costs for such care were historically capped at the same level that healthcare providers could receive from Medicare. The State and Federal Governments jointly shared this cost burden to ensure those of lesser means did not go untreated. Under the Biden Administration, States and healthcare providers were permitted to game the system. For example, States “taxed” healthcare providers, but sent the same money back to them in the form of a “Medicaid payment,” which automatically unlocked for healthcare providers an additional “burden-sharing” payment from the Federal Government. Through this gimmick, the State could avoid contributing money toward Medicaid services, meaning the State no longer had a reason to be prudent in the amount of reimbursement provided. Instead of paying Medicare rates, many States that utilize these arrangements now pay the same healthcare providers almost three times the Medicare amount, a practice encouraged by the Biden Administration. These State Directed Payments have rapidly accelerated, quadrupling in magnitude over the last 4 years and reaching $110 billion in 2024 alone. This trajectory threatens the Federal Treasury and Medicaid’s long-term stability, and the imbalance between Medicaid and Medicare patients threatens to jeopardize access to care for our seniors. I pledged to protect and improve these important Government healthcare programs for those that rely on them. Seniors on Medicare and Medicaid recipients both deserve access to quality care in a system free from the fraud, waste, and abuse, that enriches the unscrupulous and jeopardizes the programs themselves. We will take action to continue to love and cherish the Medicare and Medicaid programs to ensure they are preserved for those who need them most. The Secretary of Health and Human Services shall therefore take appropriate action to eliminate waste, fraud, and abuse in Medicaid, including by ensuring Medicaid payments rates are not higher than Medicare, to the extent permitted by applicable law. This memorandum is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person. DONALD J. TRUMP

MEMORANDUM FOR THE SECRETARY OF HEALTH AND HUMAN SERVICES THE ADMINISTRATORS OF THE CENTERS FOR MEDICARE AND MEDICAID

Trump tax bill: Health care impact revealed in CBO report

The recently published projections from the Congressional Budget Office reveal that the tax bill proposed by House Republicans

Health Care Inc.: DOGE’s Brad Smith profile, Stephanie Carlton CMS interview

The healthcare industry is an ever-evolving field with constant changes and developments. In this week's edition of Health

You Need A Dedicated Eye Care Routine In The Anti-Aging Fight

It's an art, a delicate dance between ingredients, timing, and technique.The Bottom LineEye care isn’t an afterthought—it’s a

Dr. Oz on the future of Medicaid, Trump’s Megabill and AI-avatar health care

Dr. Mehmet Oz Takes the Helm at CMS: Health Care's New Captain Dr. Mehmet Oz, who once captivated

Lack of funding for care service ‘breaks my heart’

By Ruth Hill of RNZ It has been seven months since Meila Davis, a 13-year-old girl from Queenstown,

(VIDEO) Former Obama Aide Admits he Hid Biden’s Cognitive Decline “Because I Care About The Country” – “I Want Him to F*cking Win!” |

Former Obama Aide Acknowledges Concerns About Biden's Capabilities Jon Lovett, a former aide to President Obama and co-host

Earth911 Inspiration: The Care We Owe The World

Earth911 Inspiration: Our Obligations to the Planet The concept of our responsibilities to the Earth is deeply rooted

Care and Connection Are at the Heart of the 2025 Hawai‘i Triennial

The 2025 Hawai‘i Triennial ALOHA NŌ continues to make waves in the art world with its thought-provoking and

How UnitedHealth’s denial of care affected one daughter

The use of algorithms by insurance companies to determine the length of stay for patients in medical facilities

Why long-term care costs can be a ‘huge problem’

Long-term care can be a significant financial burden, with costs exceeding $100,000 for many individuals. Despite this, financial

How Donor Collaboratives Can Support The Care Movement

The demand for reliable and accessible in-home care for older Americans is on the rise, leading to challenges