Trump’s facts examination of Medicaid’s discounts in Bill Gop | Health news

The Medicaid Bill, which the Republicans paid, proposes significant discounts for the health insurance program for low -income Americans. But US President Donald Trump claimed that the legislation would change Medical aid In ways that are only struggled with “waste, fraud and abuse”, a phrase repeated seven times for a few minutes.

“We do not make any pieces of any meaning,” the Republican president said. “The only thing we cut is waste, fraud and abuse … We do not change Medicaid, and we do not change medical care, and we do not change social security.”

House of Representatives The bill passed On Thursday, it is now moving to the Senate, where it can be changed. The version of the house does not target social security or medical care directly. But it changes medicaid, including in ways in line with the Republican priorities.

The Non -party Congress Budget Office in Congress expected that at least 8.6 million people will lose coverage due to changes.

“The relatively little of the draft law is clearly linked to trying to reduce fraud or error,” said Lighton Ko, director of the George Washington Health Policy Research Center. ))

Robin Rodwitz, Vice President and Director of the Medicaid Program and the and non -insured in the KFF Health Policy Research Group, agreed that the change of the draft law exceeds what Trump said. She said: “The volume of federal spending discounts and the loss of the resulting coverage exceeds the distribution of fraud and ill -treatment.”

The main provisions of the draft law can be removed before the final vote and legislation while others can be added.

The White House did not respond to the investigation of this fact.

How the federal government defines waste, fraud and abuse

Medicare and Medicaid services centers, the Federal Agency that runs Medicaid, provides official definitions of these three terms:

• Fraud: “When someone intentionally deceives, hides, or indicates obtaining money or property from any health care program. Medical care or medicaid is a criminal act.”
• Waste: “Excessive services in the use of services or other practices that directly or indirectly lead to unnecessary costs to any healthcare program. Examples of waste are excessive office visits, more than necessary medications, and arrange excessive laboratory tests.”
• Mlotting: “When health care providers or suppliers make procedures that directly or indirectly lead to unnecessary costs for any program in favor of health care. The abuse includes any practice that does not provide patients with necessary medical services or meet professionally recognized criteria”, such as the symbols of unknown bills or abuse.

Some of the provisions of the bill can be described as targeting waste, fraud and abuse

One of the provisions mentioned in the draft law requires the confirmation of the eligibility of the beneficiaries of the medical importance at least every six months instead of each year under the current law. It would set tougher requirements to verify registered addresses and other information.

Such efforts can provide expenses on unqualified persons and can be classified as a waste protection measure.

Other provisions are more ideological than focusing on waste, fraud and abuse

Several prominent provisions of the draft law are more run by the ideology-the differences in the extent of the program expansion and the types of people who should benefit.

One of these provisions includes people in the United States without documents.

Since it is already inconsistent with the law to spend the Medicaid federal funds on people who have no documents, the draft law takes a different approach: it seeks to make countries more difficult to rely exclusively on state funds to cover migrants in the United States. Currently, 14 states and provinces of Colombia cover children regardless of their migration situation, seven states in addition to Washington, DC, covering at least some adults who live in the United States without documents as well.

For these states, the draft law reduces the federal government’s share of Medicaid payments from 90 percent to 80 percent.

In other words, if the state wants to continue to cover uncomfortable persons, you will face a reduction in the federal payment rate to cover American citizens, not only immigrants in the country without documents. Budget pressure in these countries may also mean that some citizens also lose some of their benefits or all their Medicaid coverage.

Another item involves work requirements. The draft law will require individuals between the ages of 19 and 64 years who receive Medicaid under the expansion of the care law at reasonable prices, which was issued during the previous administration of President Barack Obama Democrat, to work or participate in qualified activities (such as obtaining a disability, or being a smell for family members or enrolling in school) for at least 80 hours a month.

Research has found that the vast majority of people who will be asked to work under similar requirements are already working or have qualified exemption – however a lot of medical aid is delivered because they fail to keep up with mandatory papers.

“The work requirements are not related to waste, fraud and abuse. They mainly change the rules of qualification for the program, and they add a huge set of bureaucratic obstacles and slavery in the red tape to maintain coverage,” said Benjamin D Somers, Professor of Health Care Economics and Medicine at Harvard University.

The KFF analysis was found in March that fraud occurs in Medicare and Medicaid mostly by service providers. “There are checks about fraud, waste, and abuse of treatment for both federal levels and state levels,” KFF wrote.

Other bill is prohibited from providing medical funds spent on non -profit organizations primarily in family planning or reproductive services, which would affect family planning and other organizations that provide abortion.

Finally, at least two rulings focus on saving money. One can require, for the first time, countries impose $ 35 on many types of care. The other would limit the coverage retroactively after applying for a medicaid one month before the request, decreasing from 90 days. These provisions do not specify how waste, fraud and abuse are rooted.

“Medical savings” in this draft law are primarily from reducing the registration of programs.

Our rule

Trump said that the draft law of the House of Representatives “does not change medical aid”, only cuts “waste, fraud and abuse.”

Legislation includes provisions that can improve the discovery of beneficiaries who are not qualified to cover.

But other provisions will change the medical aid to match the Trump ideology and the Republican priorities. The draft law will motivate states to stop using their own funds to cover people who have no documents in the United States; It takes people to work or do other approved activities to secure benefits; Medicaid payments are prohibited for non -profit organizations such as family planning, which provide miscarriages from other services.

Other changes aim to reduce expenses, including the imposition of COPAIS and a shorter window to cover retroactively. These provisions do not specify how they will cut waste, fraud or abuse.

We evaluate the statement bloomer.