RT Samir Unni (@SamirUnni)@DOGE_HHS published a dataset with billing activity for every Medicaid provider; 227 million rows, from 2018 to 2024. I cross-referenced it against the federal NPPES provider registry and @OIGatHHS's exclusion list, and started looking for fraud. It didn't take long to find providers banned for fraud still collecting payments a decade later. Brand-new entities billing $170 million in their first 18 months. A lab that went from 73 claims to 48,000 in a single month. Here are five ca ...

RT Blake Neff (@BlakeSNeff)Maine is a 90% white state, and only about 2% black. Yet somehow, from 2021 through 2024, at least 90% of new Medicaid agencies in Maine were created by people with African or Arabic names. They collected more than $190 million.What are the odds that even half of this is legitimate? ...

Short Thoughts, new today.I cover Medicaid fraud/Molina, Shift4, Fannie Mae, the job market and “AI,” etc.On that last point, during COVID, Medicaid redetermination – that is, re-confirming participant qualifications to be part of Medicaid – were suspended – and this continued for over 3 years!About 25% of Molina’s membership is in California, where Medicaid enrollment is 10x bigger than Minnesota.https://t.co/nCxSgQwcUG ...