Tag: Medicaid

5 Ways Medicaid Supports Main Streets Across America

5 Ways Medicaid Supports Main Streets Across America

The U.S. House of Representatives recently passed a budget reconciliation bill that includes significant cuts to Medicaid. According…

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How Trump broke the politics of Medicaid

How Trump broke the politics of Medicaid

Once upon a time, Republicans reveled in the prospect of slashing Medicaid. Fast forward to today, and as…

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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…

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NIH, FDA on AI, taurine benefits, Medicaid

NIH, FDA on AI, taurine benefits, Medicaid

Republicans offer pay raise to physicians in exchange for silence on Medicaid cuts A recent development in the…

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Why Medicaid Needs A Text Message Exemption Now

Why Medicaid Needs A Text Message Exemption Now

The ongoing debate surrounding the Big, Beautiful Bill (BBB) and its implications for Medicaid beneficiaries continues to stir…

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Mike Johnson Gets Crushed When Asked For Proof Of Medicaid Fraud

Mike Johnson Gets Crushed When Asked For Proof Of Medicaid Fraud

PoliticusUSA thrives on the unwavering support of our readers. If you find our work valuable, please consider becoming…

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

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…

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Sen. Ernst response to grilling on Medicaid : NPR

Sen. Ernst response to grilling on Medicaid : NPR

U.S. Sen. Joni Ernst, R-Iowa, speaks to reporters as she walks to a Senate luncheons at the U.S.…

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Medicaid Cuts Will Hurt All Americans—Not Just Medicaid Recipients

Medicaid Cuts Will Hurt All Americans—Not Just Medicaid Recipients

The recent passing of the budget bill by the House of Representatives has sparked controversy and concern for…

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Mike Johnson Looks America In The Eye And Lies About Cutting Medicaid

Mike Johnson Looks America In The Eye And Lies About Cutting Medicaid

Support for PoliticusUSA is essential. Our ability to keep certain articles accessible to all readers relies on the…

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Medicaid, trans health, Eli Lilly, CDC, vaccines

Medicaid, trans health, Eli Lilly, CDC, vaccines

Removing coverage for gender-affirming care could have devastating consequences for this vulnerable population. Many trans individuals already face…

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D.C. Diagnosis: House bill cuts Medicaid, FDA’s new vaccine policy

D.C. Diagnosis: House bill cuts Medicaid, FDA’s new vaccine policy

Memorial Day is fast approaching, and STAT+ is offering an exclusive deal to celebrate this occasion. You can…

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