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Insane way to talk about a bill that primarily 1) limits provider taxes, which Obama proposed limiting and DrOzCMS rightly calls "legal money laundering," 2) adds work reqs for a certain part of ACA Medicaid expansion pop, and 3) doesn't extend ACA subsidies that are 4 years old

💯 It is unethical but the pull of the corrupt use of other people’s money has been too much for the politicians in almost every state

.Larry Levitt says he prefers more affordable health care. But the policy agenda he outlines is just more and particularly poorly designed federal subsidies. To make hc better & more affordable, we need to stop pouring fuel, i.e. subsidies, on the medical industrial complex.

Alex Wayne Phil Galewitz Julie Appleby Renuka Rayasam Bernard Wolfson Ugh. Health policy reporters defending Medicaid provider taxes and Medicaid payments to hospitals 2x-3x Medicare rates. Here's Joe Biden on provider taxes:

North Carolina received a massive inflow of federal Medicaid $ from Biden admin. Stat News reported on one such boondoggle last year. Nonprofit hospitals secured $4B in federal funds to forgive medical debt, most of which they would have written off. “Why bail out these

"[Biden's] policies gave many people free insurance coverage, sometimes unbeknownst to them, which in some cases resulted in people enrolling in more than one insurance plan." From a WSJ article explaining Centene's stock price drop. wsj.com/health/centene…

The main fiscal effect of the health provisions of OBBB is to gradually restore the projected path of federal Medicaid & Obamacare subsidy spending to the pre-Biden levels. Total spending in 2025 is ~$200 billion, or 33% higher, than what CBO projected just four years ago!

The health policy reforms in OBBB required Congress to overcome fierce opposition from powerful health care special interest groups that profit from the status quo and lobby aggressively to preserve the flow of government subsidies into their coffers.

CBO says Medicaid projected spending jumped $1.28T over Biden’s term. OBBB tackles the causes—extended COVID policies, ineligible enrollees, and state provider tax schemes—saving $882B and restoring spending to the pre-Biden path by 2031. New Paragon Pic: t2m.io/ZoXHpZx

OBBB contains major health policy wins & reverses Biden's spending binge. 1) Limits Medicaid money-laundering 2) Medicaid community engagement requirements 3) Verifying eligibility before enrollment 4) Rescinding costly Biden rules My analysis: paragoninstitute.org/newsletter/the…

Larry Levitt Larry, you never engaged on this. The bill's health policy provisions were an obvious reaction to Biden-era reckless spending and corporate welfare growth. The combined Medicaid & ACA baselines increased by $1.9 trillion during the Biden administration!

Biden-era policies inflated Medicaid and ACA spending by nearly $2 trillion with a flood of waste, fraud, abuse, and corporate welfare. 🚨The OBBB reverses the unsustainable spending surge and brings projections back to pre-Biden levels by reining in waste. 🚨

Geez...Republicans finally made progress on the Medicaid provider tax "scam" - your words. And enacted a reform that almost mirrors an Obama-Biden policy proposal.

Larry Levitt So much of the Biden-era health care spending surge went to corporate interests. Republicans who voted for these important reforms should be able to craft a populist message about taking on special interests & reducing waste, fraud, abuse, and grift.

CORRECTING THE RECORD: How the OBBB will affect health coverage 🚨⬇️ Some are claiming upwards of 16 million Americans will lose their health coverage. This is a bogus claim. Here is how this number breaks down, using U.S. CBO estimates: paragoninstitute.org/medicaid/corre…

Ashish K. Jha, MD, MPH julie rovner TIME Lots of mistakes and omissions 1. The nursing home tax is unaffected by the 6% to 3.5% phasedown 2. The president you worked for called provider taxes “scams” and advocated eliminating them 3. Obama’s ‘12 & ‘13 budgets proposed the 3.5% phasedown, with no nursing home exemption

No One is ‘Gutting’ the Safety Net - WSJ wsj.com/opinion/no-one…

Some #s around Ashish K. Jha, MD, MPH’s hyperbolic argument: 📊 $72T – Projected health care spending ('25–'34) 💰 $190B – Estimated reduction from provider tax reforms (per CBO) That’s ~0.25%—or $1 for every $400 spent Absurd to argue that this will lead to health system collapse