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Audits Across 28 States Halt $5.7 Billion in Improper Spending
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Red State, Approved, National

Audits Across 28 States Halt $5.7 Billion in Improper Spending

By Ben Smith | RedState.com For years, fraud has been dismissed as a right-wing talking point from the Trump administration. A new report from state financial officers makes that claim harder to ignore. Across 28 states, auditors say they identified and stopped $5.7 billion in waste, fraud, and abuse in a single year. Those findings span Medicaid eligibility systems, local government budgets, payroll controls, and nonprofit oversight. The money did not disappear into thin air. It was tracked, documented, and stopped once someone chose to look. The State Financial Officers Foundation’s 2025 Oversight Report lays out what 40 state treasurers, auditors, and comptrollers say they uncovered after digging into eligibility systems, payment flows, an...
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Federal Reimbursement Model of ‘Perverse Incentives’ Fuels Colorado Medicaid Expansion
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Complete Colorado, Approved, Commentary, State

Federal Reimbursement Model of ‘Perverse Incentives’ Fuels Colorado Medicaid Expansion

By Nash Herman | Commentary, Complete Colorado Colorado’s ongoing budget-gap struggles are the predictable result of structural problems with Medicaid.  Paragon Health Institute, a non-partisan research institute, recently published a new report, Preserve and Improve Medicaid, which explains the program’s inherent challenges and how states such as Colorado can take advantage of One Big Beautiful Bill (OBBB) reforms to improve outcomes.  However, it remains ultimately up to Colorado legislators to address the program’s systemic issues.  Medicaid’s ‘perverse incentives’ As economist Linda Gorman recently explained, the rapid 2010 expansion of Medicaid did not produce large gains in physical health, suggesting that the new expansion ...
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Colorado Launches New Study On Single Payer Health Care A Decade After Being Rejected By Voters
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The Denver Gazette, Approved, State

Colorado Launches New Study On Single Payer Health Care A Decade After Being Rejected By Voters

By Mary Shinn | The Denver Gazette Colorado residents owe about $1 billion in medical debt.  The sky-high number is a small portion of the nation’s medical debt estimated around $220 billion, according to a 2024 analysis by Peterson Center on Healthcare and KFF, formerly the Kaiser Family Foundation.  As more people nationally are expected to lose their health insurance following planned cuts and changes to Medicaid in January 2027, the Colorado School of Public Health is starting work on a study to analyze how the state could set up a single-payer health insurance program that would be run at the state level. Such a system could simplify the complicated private insurance system and ensure all state residents have coverage.  “It would be simple. I...
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Colorado Lawmakers Face Tough Choices As Medicaid Drives Increased Spending
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Colorado Politics, Approved, State

Colorado Lawmakers Face Tough Choices As Medicaid Drives Increased Spending

By Marianne Goodland | Colorado Politics This week, the state Senate is reviewing revisions to the 2025–26 state budget, which has been reduced by hundreds of millions of dollars in each round of cuts. But the bottom line is that, because of Medicaid costs, the state will spend more in 2025-26 than lawmakers approved in the 2025 session. Last week, the 29 bills in the supplemental package were approved by the House, with most passing with broad support. That didn’t mean all of them did: bills changing the budgets for the departments of state, treasury, health care policy and financing, personnel, public health and environment and higher ed all passed largely along party lines. A supplemental for the Department of Corrections, which increased its budget by $29...
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Budget Crunch Drives Colorado Medicaid Board To Approve New Caps On Disability Services
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The Colorado Sun, Approved, State

Budget Crunch Drives Colorado Medicaid Board To Approve New Caps On Disability Services

By Jennifer Brown | The Colorado Sun Medicaid benefits that pay for people with disabilities to go on community outings and cover household cleaning, cooking and laundry are the latest services facing cuts as Colorado deals with a major budget shortage.  A governor-appointed board that sets rules for the state Medicaid program voted 6-1 Friday to preliminarily approve the cuts, despite rejecting other cuts requested by Medicaid officials this year.  The federal-state health insurance program will save $1.2 million in state money this year and $10 million next year by placing stricter caps on the number of hours that caregivers are paid to take people on outings through a benefit called “community connector.” Capping the hours allowed for “homemaker” services,...
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Federal Government Requires Colorado to Share Medicaid Data With Homeland Security
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Colorado Public Radio, Approved, State

Federal Government Requires Colorado to Share Medicaid Data With Homeland Security

By Bente Birkeland and John Daley | Colorado Public Radio In January, the state’s flagship safety net hospital, Denver Health, distributed a one-page notice about patient privacy that carried groundshaking implications, especially for Colorado’s immigrant population. The notice stated that due to federal changes within Medicaid, the federal-state program for hundreds of thousands of low-income and disabled Americans, “limited” personal information could be shared with U.S. Immigration and Customs Enforcement. Denver Health said the information applied only to people who are not lawfully residing in the U.S and are enrolled in a program called Emergency Medicaid or pregnant and enrolled in Medicaid through Cover All Coloradans. But if a person is in one of those groups,...
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Colorado Budget Panel Halts Proposed Medicaid Pay Reductions for Family Caregivers
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Colorado Politics, Approved, State

Colorado Budget Panel Halts Proposed Medicaid Pay Reductions for Family Caregivers

By Marissa Ventrelli | Colorado Politics The Colorado General Assembly’s budget decision-makers have put proposed pay cuts on hold for people who care for a family member with a disability who receives Medicaid. The Joint Budget Committee made the decision after hours of testimony from family caregivers and several advocates. The Department of Health Care Policy and Financing has been struggling to manage a substantial spike in Medicaid spending, which accounts for about one-third of the state’s budget, even as Colorado faces a $1 billion budget deficit. Members of the JBC earlier expressed concerns with Gov. Jared Polis’ proposal last November on how to plug that deficit, which included a plan to fund Medicaid below its projected growth. “This isn’t a tr...
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Medicaid Cuts For Disabled Coloradans Advance Without Board Approval
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The Colorado Sun, Approved, State

Medicaid Cuts For Disabled Coloradans Advance Without Board Approval

By Brian Eason | The Colorado Sun State Medicaid officials said they have authority to continue with the plan through an executive order from Gov. Jared Polis and that they will ask again for board approval. When it came time for any of the Colorado Medical Services Board members to make a motion, there was only dead silence.  For two hours, the 11-member board that governs the state Medicaid program heard pleas from parents who provide round-the-clock care of their adult children with severe disabilities. And when the testimony was over, no one on the board would make a motion that would result in cuts to the parents’ monthly pay. The request from Medicaid officials for an emergency rule change that means a 10% pay cut for families of Colorado’s most vul...
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FRAUD ALERT: Millions of People in Zero Premium Obamacare Plans May Have Never Signed Up
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Just The News, Approved, National

FRAUD ALERT: Millions of People in Zero Premium Obamacare Plans May Have Never Signed Up

By Amanda Head | Just The News Obamacare abused by brokers to sign up millions for healthcare without their consent or knowledge. As a result, insurance companies reaped windfall profits, at the expense of taxpayers. In exchange for gift cards, millions of Americans were unwittingly signed up for Obamacare by brokers who scalped their vital information and enrolled them in plans where premiums were paid by the American people, a research group says.   "The government was sending massive checks to insurance companies who were making windfall profits on behalf of people who didn't use any health care," Brian Blase, president of Paragon Health Institute, a healthcare policy group told Just The News. A 2021-2022 expansion of Affordable Care Act subsidie...
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Runaway Medicaid Spending Forces Colorado Toward Hard Choices
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Complete Colorado, Approved, Commentary, State

Runaway Medicaid Spending Forces Colorado Toward Hard Choices

By: Nash Herman | Commentary, Complete Colorado The legislature’s Joint Budget Committee (JBC) recently held a hearing with the Department of Healthcare Policy and Financing (HCPF), the Governor’s office, and Manatt, a healthcare consulting firm, to address the unsustainable growth of Colorado’s Medicaid spending. Here’s a look at some of the highlights from the hearing. Runaway spending According to HCPF and the Governor’s office, General Fund spending on Medicaid increased at an average rate of 6 percent from fiscal year 2015-16 to fiscal year 2018-19. However, after the federal government windfall from COVID, General Fund spending blew up, growing at an average rate of 19 percent from fiscal year 2021-22 to fiscal year 2024-25. Health c...
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