https://x.com/WallStreetApes/status/1905095723097661928
WSA (TwiX) Elon Musk says DOGE will now be looking into Medicaid fraud
“Taxpayers Spent Billions Covering the Same Medicaid Patients Twice”
When people move states and re-enroll in Medicaid. Insurance companies aren’t cancelling the old plans. They GET PAID TWICE MONTHLY
- Double Payments Identified: Health insurers received double payments from Medicaid for covering HUNDREDS OF THOUSANDS of patients enrolled in two states simultaneously, costing taxpayers at least $4.3 billion over three years (2019-2021), according to a Wall Street Journal analysis.
- Patients often moved between states and enrolled in Medicaid in the new state without canceling coverage in the previous one, leading to insurers being paid by both states despite providing services in only one.
- Major Insurers Involved: The largest Medicaid insurer, Centene, received $620 million in duplicative payments, followed by Elevance Health ($346 million) and UnitedHealth Group ($298 million) between 2019 and 2021.
- An average of 660,000 patients per year were double-enrolled, with more than 270 Medicaid insurers collecting duplicate payments; the top five insurers accounted for about one-third of these payments.
- States are responsible for eligibility checks, but many fail to detect moves until annual reviews, allowing insurers to collect months of extra payments. Federal oversight does not actively screen for these duplicates.