Paragon, EPIC: With Eligibility Errors, Medicaid Improper Payments Top $1.1 Trillion

By Jalen Brown / March 6, 2025 at 2:26 PM
CMS' estimated $543 billion in improper Medicaid payments doesn't take in account eligibility check errors, which would, once counted, increase improper payments to nearly $1.1 trillion, according to a recent report by the Paragon Health Institute and Economic Policy Innovation Center, which urges Congress to cut funding to states found with greater than 3% erroneous payments based on eligibility errors. The findings come as congressional Republicans push to rein in spending via the budget reconciliation process while health care lobbyists,...


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