agracer said:

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BusterAg said:

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ETFan said:

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Going to need some clarity on work requirements. Considering Medicaid covers children, pregnant women, the disabled, the elderly... ?

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It also covers people with "schizophrenia" supposedly.

Medicaid fraud is rampant. Mental illness is the number 1 vehicle.

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Worked as a consultant for hospital in Houston. They primarily served Medicare patients with mental health issues.

2-years after our contract ended, the FBI raided their offices, arrested the CEO/CFO and a few others for $158,000,000 in Medicare fraud.

Now HTF does the number get that big before someone notices?

https://www.justice.gov/archives/opa/pr/president-houston-hospital-and-three-others-convicted-158-million-medicare-fraud-scheme#:~:text=A%20federal%20jury%20in%20Houston,claims%20for%20mental%20health%20treatment.

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Easy.

When a system has terrible controls against fraud, fraud will eventually occur. Fraudsters always look for vulnerable targets.

The US continuing to be a vulnerable target for fraud in the age of AI is a violent crime against the American taxpayer, and should be prosecuted as such in the future, starting in 2026.

It's not OK just to not commit fraud, you have to be anti-fraud. Being complicit to fraud by having lax internal controls should be a crime prosecuted severely.

No Spin Ag said:

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agaberto said:

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Other cuts on the table include a proposal to change the federal government's reimbursement to a per-person limit. That would shift the costs to states, which might be forced to make tough choices about who or what they cover.

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Is this one of those things that'll likely be DOA once it hits the Senate?

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I think that this is something that could and should be folded into reconciliation. It's about spending, afterall.

Good.

Medicaid and Medicare have royally ****ed over our healthcare system.

The abuse is rampant and the fact that these programs do little more than cover the cost of supplies for procedures much less the cost of labor drives up costs of care for everyone else.