Explore Medicaid intergovernmental transfers (IGTs) abuse, federal oversight challenges, and policy reform opportunities to restore Medicaid fiscal integrity and ensure equitable provider payments.

The Medicare Payment Advisory Commission recommends reducing payments to home health agencies and hospices due to strong profit margins revealed in 2024 Medicare claims data, aiming to optimize Medicare spending and reimbursement policies for elder care providers.

States like North Carolina and Idaho are reducing Medicaid provider payments due to budget shortfalls, risking healthcare access for vulnerable populations and straining provider networks.