Tag: longterm

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 0 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

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…

InquiryMind
Analysis-Global bond markets signal governments must pay more to borrow long-term

Analysis-Global bond markets signal governments must pay more to borrow long-term

Governments around the world are facing challenges in borrowing for the long term as investors demand higher returns…

InquiryMind
Living organ donors need better long-term medical support

Living organ donors need better long-term medical support

Despite the risks, there is a lack of comprehensive data collection and support for living donors post-donation. This…

InquiryMind
China’s GPRIMG Enters Long-Term LNG Supply Agreement with ConocoPhillips

China’s GPRIMG Enters Long-Term LNG Supply Agreement with ConocoPhillips

China’s Guangdong Pearl River Investment Management Group (GPRIMG) made a significant announcement at the 29th World Gas Conference…

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

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…

InquiryMind
Fed’s Powell cautions about higher long-term rates as ‘supply shocks’ provide policy challenges

Fed’s Powell cautions about higher long-term rates as ‘supply shocks’ provide policy challenges

Federal Reserve Chair Jerome Powell recently addressed the changes in the economy and the ongoing policy review during…

InquiryMind
Both lifestyle and metformin interventions show long-term benefits in reducing type 2 diabetes

Both lifestyle and metformin interventions show long-term benefits in reducing type 2 diabetes

The U.S. Diabetes Prevention Program (DPP) recently released findings from a 21-year follow-up study, showcasing the long-term impact…

InquiryMind
Many young adults have high long-term risk for cardiovascular disease, study finds

Many young adults have high long-term risk for cardiovascular disease, study finds

A recent study conducted by Northwestern Medicine and published in JAMA has revealed alarming statistics about the risk…

InquiryMind
Long-term study links chronic conditions in midlife to higher cancer risk and mortality

Long-term study links chronic conditions in midlife to higher cancer risk and mortality

Researchers from Memorial Sloan Kettering Cancer Center and the University of California, Los Angeles, have discovered that comorbidities…

InquiryMind
Severe, lasting impairment that some consider ‘worse than death’ affects many residents after long-term care admission

Severe, lasting impairment that some consider ‘worse than death’ affects many residents after long-term care admission

The admission of residents to long-term care homes can often result in severe disabilities within a short period.…

InquiryMind
Colin Farrell Explains Son’s Long-Term Care Facility Decision

Colin Farrell Explains Son’s Long-Term Care Facility Decision

Colin Farrell recently shared the challenging decision he made to place his 21-year-old son, James Farrell, in a…

InquiryMind
Medicinal cannabis linked to long-term benefits in health-related quality of life

Medicinal cannabis linked to long-term benefits in health-related quality of life

Medical cannabis has been a topic of increasing interest in recent years, especially regarding its potential therapeutic benefits…

InquiryMind