Tag: Pay

Georgia roofer is out $12,000 after State Farm approved homeowner’s claim — then refused to pay out in full

When Venkat Garikapati, a homeowner in Georgia, experienced heavy wind damage to his roof in 2021, he turned

Polluter must pay, say voters

The Majority of Brits Call for Tax Hikes on Polluting Companies to Fund Public ServicesA recent snap poll

Liverpool dealt blow as they’re likely to be asked to pay record-breaking fee for transfer of superstar forward: Reports

Liverpool's pursuit of Alexander Isak has hit a roadblock as Newcastle United has reportedly set a staggering price

Most people worldwide back a carbon tax — even if they’d pay it

A recent study published in Nature has revealed a surprising trend among people in affluent countries when it

Food Network Stars Pay Tribute to Anne Burrell After Her Sudden Death

Food Network Star Anne Burrell was a beloved figure in the culinary world, and her sudden death has

Warner Bros Discovery CEO David Zaslav Pay to Drop After Company Split

Warner Bros. Discovery CEO David Zaslav's Pay Package Undergoes Changes Amid Company Split Warner Bros. Discovery CEO David

Jason Isaacs on ‘White Lotus’ Pay Equality and ‘Peter Pan’ Flop

Jason Isaacs recently revealed in a candid interview with Vulture that the entire cast of "The White Lotus"

Israel says Tehran to ‘pay price’ after Tel Aviv attacks

Iranian missiles have struck Israel's Tel Aviv and the port city of Haifa, resulting in the deaths of

Disney to pay almost $439 million to take full control of streaming service Hulu

Disney has officially acquired Comcast's NBCUniversal's stake in Hulu for a whopping $439 million, thus taking full control

Michigan State U. to Pay Nearly $30 Million to 3 Survivors of Campus Shooting

Michigan State University has reached a significant settlement with three students who survived a tragic shooting on campus

UnitedHealth’s talking points, doctors up for a pay raise

Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences

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