Posted on 07/19/2025 9:20:25 PM PDT by ransomnote
https://x.com/doge/status/1946345134724886702
Department of Government Efficiency
@DOGE
Great partnership and collaboration with the @CMSGov
team to help eliminate $14B in duplicative Medicaid and ACA enrollment. After identifying the correct databases and validating datasets, the CMS and DOGE teams were able to uncover 2.8 million Americans improperly enrolled in multiple programs.CMS will be working with states to delete duplicative enrollments and ensure that NO individuals lose their one, lawful health insurance policy. As a result of this effort, beneficiaries will now receive the appropriate level of care without placing undue burden on the American taxpayer.
DrOzCMS
@DrOzCMS
·
Jul 17
CMS found 2.8 million Americans enrolled in two or more Medicaid or ACA plans - wasting over $14 Billion in taxpayer funding! This is exactly why we fought for stronger tools in the One Big Beautiful Bill Act. https://cms.gov/newsroom/press
Get that extra money back from recipients or throw them in prison!
we can't stop all of this corruption but wouldn't it be nice to cut off the govts multiple taxing authorities that keep the masses poor or struggling.
every single thing in life has some tax to it.
Where’s the government oversight?
Why aren’t reporters asking members of the congressional oversight committees about the fraud, waste and abuse?
It may be the state level medicaid/ACA which is absorbing funds. A person doesn’t need two blood tests - one from each of two different medicaid programs. However, if someone moves from Maine to Idaho, they may have 2 accounts, one in each state. It’s possible the states leave people on the rolls, even if notified of a move, in order to keep their portion of taxpayer awarded funds from the Feds.
In CA, these services are heavily over used. I guess someone could open two accounts and give one to an illegal to use. In which case, yes, send them the bill.
bookmark.
Almost Bingo.
Two accounts...lab or other provider bills to each.
Double payments for just one patient.
What’s not to like? /s
WUT!
Here’s what’s going on...
If your income falls below a limit, and you live in a state with “expanded Medicaid,” and you apply for insurance on Healthcare.gov, your name will be sent to Medicaid.
Even if you’re able to change your application and qualify for an “ACA plan” right away, Medicaid will keep your name on its list. Then, Medicaid will refuse to remove your name, even if you call multiple times and tell them to remove your name, tell them you have insurance, and never use Medicaid.
It’s funny how the politicians didn’t know that. They don’t even know what their own laws do. Many of us could’ve told “DOGE” ourselves. It wasn’t a big secret.
the government cant even vote honestly on its first vote in favor of rescission. A struggle for them, leaving 400 million for African aids programs, sickening
Thank you DOGE.
Let’s not forget about the Federal or State employees that facilitated this theft. These people didn’t accidentally end up being approved for these programs.
We are hammered every year with 4 months of “Change your plan” windows.
IF anyone changes their plan, and the older plan never reports such-—THAT helps this mess.
Wonder if this has anything to do with the cratering stock price of various health insurance companies.
Medicaid money does not go to Medicaid members. It goes to Hospitals, doctors, other providers. It goes to insurance companies. It goes to IT companies that manage who gets Medicaid membership. Those companies vary in honesty and competence.
DELOITTE is the poster child for the worst. It develops very poor quality EMPI-Enterprise Master Person Indexes and profits from the poor quality.
DeLoitte uses political connections to secure its contracts. Its work is not based on competence or honesty.
There are other IT companies that are not as corrupt but are less than competent. There are Insurance companies that vary in honesty and competence.
And then there are IT companies that are relatively honest and competent when compared to the above.
If Medicaid is to be argued as a benefit to society, there needs to be some way in the contracting process for the honest and competent to be evaluated.
Currently nationwide it is common in the bidding process that the State Government cannot use known incompetence and/or dishonesty on other contracts in considering a bid for a new or additional contract.
When bidders are rejected for a new contract they can appeal the decision and make it so unpleasant that nobody wants to say “you were rejected because you are dishonest, incompetent or both.”
One alternative is to have such a big umbrella project that everybody, good and bad, are included. Everybody gets money. The only ones excluded are those who question the value of spreading the IT wealth.
If Medicaid is to be beneficial to society, and the way many State government contracts are awarded, the process needs to be improved.
“one from each of two different medicaid programs. However, if someone moves from Maine to Idaho, they may have 2 accounts”
The Medicaid intent is only 1 active Medicaid at a time. Two (or more) active Medicaid (ID) for the same person exist because there is 1 for Sue, one for Susan, or one for Smith, one for Jones and one for Smith-Jones. SSN is known for half of Medicaid members. It is known that Sue and Susan have the same SSN, same birthdate, same address....
yet Deloitte gives one person 2 (or more) ID. For the 50% where SSN is unknown, the DOB and address and other factors make it highly unlikely that the DUPS are not the same person.
Capitation is where an IT firm, an insurance company, a nursing home or other provider gets paid x $ per head count. So they get twice as much money for DUPS (and dead).
Claims are where Dr A can honestly say and bill for seeing both Sue/ID123 and Susan/ID456. Most double billings are for many members for only hundreds of dollars. Some are for thousands and tens of thousands of dollars. A very few are in the hundreds of thousand and millions of dollars.
Two types of claims are frequently high dollar: 1) Newborns of druggie moms with a lot of problem. 2) Middle aged with HIV and STDs and all organs failing.
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