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Fraud and Abuse Against Medicaid: Rhetoric and Reality in the One Big Beautiful Bill Act
We have not cut Medicaid, and we have not cut SNAP. What we’re doing…is working on fraud, waste, and abuse. And everyone in Louisiana and around the country understands that that’s a responsibility of Congress….[Medicaid] is intended for vulnerable populations, for young single pregnant women and the elderly and the disabled and people who desperately…
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Medicaid Cuts in the House-Passed Reconciliation Bill: Questions for Senators
Last week the House of Representatives, by the narrowest of margins (215-214), passed the One Big Beautiful Bill Act, H.R. 1. The bill includes unprecedented changes to Medicaid summarized here by my colleague Edwin Park. Over the next ten years, these changes will terminate Medicaid coverage for millions of Americans and reduce federal Medicaid payments…
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Medicaid Work Reporting Requirements: More than Meets the Eye
Republicans from President Trump on down are trying to hide the ball on how much they want to cut federal Medicaid payments to states and how they would go about doing so. But as my colleague Edwin Park has explained, they are working from the same playbook as they used in 2017 during the first…
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Happy 15th Birthday, ACA
Fifteen years ago this month, President Obama signed into law the two bills that together make up the Affordable Care Act (ACA). It was, to borrow a phrase, a BFD. In a blog, on the occasion of a previous birthday, my colleague Joan Alker methodically laid out just how big a deal the ACA was…
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Medicaid Fraud: The Improper Use of Improper Payments
Welcome to another installment on the misuse of the Medicaid “improper payments” metric. This conversation began in 2018, then continued in 2020, 2022, and this year. For those just joining, Brian Blase of the Paragon Institute and his colleague, Rachel Greszler of the Economic Policy Innovation Center, have launched yet another misguided assault on federal…