GAO report exposes extensive fraud and waste in ACA marketplace subsidies, highlighting systemic issues and costly improper payments undermining healthcare affordability and federal program integrity.

The Trump administration signals readiness to revise Medicare if Senate uncovers fraud, while denying plans for cuts. Medicaid cuts remain a focal budget concern amid Senate review.

Explore Medicaid's fiscal challenges, expansion impact, funding imbalances, and reform options including work requirements and provider tax schemes driving federal costs.