Medicaid

“I am really targeting the people who need the infrastructure wouldn't necessarily be able to access the infrastructure. And so how can we create it and offer it for them? As far as like, you know, Medicaid and all of that stuff, I I'm keeping it intentionally …”

“We know That there's billions of dollars in fraud in California for things like Medicaid fraud, unemployment fraud, EBT fraud, hospice fraud, fraud related to the homeless industrial complex, and on and on. That's all been proven, ok?”

“So the rule is there is no Medicaid reimbursement to the states for any mental health care provided In a facility with more than 16 beds.”

“I've got 500,000 Pennsylvanians who are going to lose their health care. I've got a 120,000 who have already lost their health care. About another 320,000 or so were likely to lose Medicaid next year. I've got 26 rural hospitals that are likely to shutter”

“The chance of a Medicaid patient who doesn't pay for their health care because they don't have the means to do it, the chance of them canceling their doctor's appointment is twice that of a Medicare patient.”

“It is by federal law, mandated that if you give a patient a welfare program, SNAP, Medicaid, you must also give them the ability to sign up to vote.”

“We're gonna actively and aggressively stop paying Medicaid if we can prove that states are not obliging their fiduciary responsibility to the American people.”

“All you need to penetrate Medicare and Medicaid is a beneficiary number. They can buy those, and you're off to the races.”

“So, the result is Ozempic and Munjara are on Medicaid and Medicare. For a hundred and 49 dollars instead of not on it.”

“One of the drug companies, Merck, said they're gonna just give us their number one drug in the world. They're gonna give it to Medicaid and Medicare for zero.”

“No one has ever looked at, if you're getting Medicaid and Medicare, how much money do you make? No one's ever compared the two.”

“Medicaid claims for autism in Minnesota spiked 130 X in five years.”

“I want to know who these people are. I want to know what their life's like, how much they make, and it was about 12 bucks an hour, and they were, 81% were women, 20% of the kids were on foods, the families were on food stamps, 25% of the kids were on Medicaid …”

“There's substantial reforms to Medicaid that protect the program, but also allow us to get illegals off the program to deal with what is essentially a money laundering scam where a state will have Almost a fake tax on a healthcare provider, use that to cause t…”

“This bill cuts eight hundred eighty billion for Medicaid over a decade, which is something that already is politically tough and controversial and imposes work requirements. For able-bodied adults.”

“And so if you do that with Medicaid, what you'll probably get is number one, a lot of these pharmaceuticals just won't be used by Medicaid. Pharma won't sell it to them. Instead, you'll have to go into the private sector, which means it's going to be more expe…”

“Of that set of payers, Medicare and Medicaid are the big gorillas because they're covering the elderly population who are consuming the vast majority of care and the vast majority of complicated care and expensive care in the country.”

“We found in the benefit programs that every benefit program that was being accessed by these people, you know, 1.3 million of them are on Medicaid right now, today.”

“All of the creativity, all the capital is going into largely Medicare and employer. And Medicaid is actually the biggest, and frankly, I think the most readily addressed challenge in, in US healthcare. And there was very little happening to take that on.”

“40% of all acute care or 39% of all acute care in Medicaid is avoidable. That's like three times what it is in Medicare, three times what it is in commercial.”

“The challenge is nobody had ever built the product to reliably implement those proven interventions at scale, and nobody had ever created the funding mechanism to make those sustainable.”

“If you didn't have signal, you'd have about 30% accuracy in identifying Future acute care use. I mean, seven out of the 10 patients that you reach out to, you're not going to actually benefit in a way that changes the outcome. With Signal, you have 90% accurac…”

“And I think that's actually been one of the biggest, like, challenges and impediments to adopting non-fee-for-service models in Medicaid is You know, the default mentality is, you know, if there is a value-based flag planted somewhere, then that territory is c…”

“It will definitely change how we kind of value companies depending on the area they're focused on and how they get paid. And if the government is going to be stepping back and we're relying more on private services, then we'd be more concerned around Medicare …”

“The only places that matter if you're going to get to two trillion is defense, social security, and Medicaid, and Medicare. That's the only places that matter. Like, the discretionary part of the budget is so small that it just doesn't matter. You could zero i…”

“We've said we're not going to touch Social Security. Medicare and Medicaid. That was the president who said that.”

“No matter what Elon Musk or anybody else says you simply cannot cut Medicare, Medicaid, Social Security defense spending or thing.”

“When you head to the US, it's 50 markets because, you know, well, Medicare is federal. It's administered different in every state and Medicaid is different in every state.”

“Especially in healthcare, where I'd say about three quarters where investing has been, it's a state by state game. Medicaid in Texas may be very different than Medicaid in Utah. You have to know the nuances, and so what would be a really good physical therapy …”

“I would say it's a red line for me to touch Social Security or Medicaid or Medicare.”

“So we are processing close to 303 150 K per month of claims.”

“With, you know, the run out in claims and the reconciliation period, and even in Medicaid retroactive government adjustments on rates It could be literally 18 months until you have a financial answer on, you know, whether the model works.”

“We had a huge debate about Medicaid expansion, where the Florida House had said, we're not gonna expand Medicaid. Because it doesn't help the most vulnerable in our community. That's not who it helps. We're going to focus on them. And the hospital associations…”

“Most big social programs in America, like Social Security, Medicare and Medicaid, as is true in other countries, typically start off smaller than they probably should in terms of overall need. That's why I call this starter house, and then you build from it, b…”

“We're right now doing a big clinical trial in the safety net Medicaid space. And, you know, thus far, you know, the outcomes are quite comparable to book a business, I mean, in large part due to this personalization.”

“So, you know, 70% private pay, and in, in that other remaining 30%, it's either long-term care insurance or Medicaid.”