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cover of episode What DOGE could mean for Medicare and Medicaid?

What DOGE could mean for Medicare and Medicaid?

2025/2/10
logo of podcast Consider This from NPR

Consider This from NPR
AI Deep Dive AI Chapters Transcript
People
A
Ari Shapiro
E
Elon Musk
以长期主义为指导，推动太空探索、电动汽车和可再生能源革命的企业家和创新者。
K
Kathleen Sebelius
L
Lakeisha Gaines
M
Mark McClellan
Topics
Elon Musk: 我认为医疗保险和医疗补助中存在大量的资金欺诈行为,需要进行审查和改进。 Ari Shapiro: 我想探讨马斯克领导的政府效率部门对医疗保险和医疗补助可能产生的影响,以及这种影响是否会威胁到依赖这些项目的人们的保障。 Kathleen Sebelius: 作为前卫生与公众服务部部长,我认为欺诈、浪费和滥用一直是联邦机构关注的重点。奥巴马政府时期,我们与司法部合作,大力打击欺诈活动。现在有人认为他们能够突然发现并消除欺诈,这完全是错误的。共和党人提出的提案主要旨在削减医疗补助计划的福利,与欺诈、浪费和滥用无关。即使大大加强打击欺诈、浪费和滥用,也无法获得政府效率部门承诺的那种资金,必须触及这些项目的核心利益。我建议大家在另行通知之前,假设你注册的服务将继续提供。如果国会开始改变医疗补助的规则和支付方式,将会摧毁每个州的预算。 Mark McClellan: 我完全同意 Kathleen 的观点,打击医疗保险和医疗补助中的欺诈是一场持续的战斗。关键问题在于,政府效率部门能否在不削减或扰乱医疗保险福利的前提下,找到消除不当项目的有效方法。我认为政府效率部门正在职业人员和政治领导的指导下工作,以寻找解决欺诈和滥用的有效方法,并希望能够更新一些数据系统。CMS 的工作人员已经到位,并且引入了一些经验丰富的职业人士,包括 CMS 新任首席运营官,他在解决医疗保险和医疗补助项目中的欺诈、浪费和滥用方面拥有丰富的经验。

Deep Dive

Chapters
Elon Musk's Department of Government Efficiency is accessing Medicare and Medicaid systems, prompting concerns about potential impacts on these vital programs serving tens of millions. The episode will explore how this could affect services.
  • Elon Musk's Department of Government Efficiency is accessing Medicare and Medicaid systems.
  • Medicare and Medicaid serve tens of millions and consume a large portion of federal and state budgets.
  • The potential impact of this involvement on services is the central question of the episode.

Shownotes Transcript

Elon Musk's Department of Government Efficiency) is quickly expanding its reach through the federal government.It recently accessed systems at the Centers for Medicare and Medicaid Services.) Musk and his team now are looking at key payment and contracting systems for Medicare and Medicaid.That was first reported by the Wall Street Journal.On X, Musk said he believes quote "big money fraud is happening." Medicare insures older people. Medicaid offers insurance to low income people and those with disabilities.These two health insurance programs serve tens of millions of people, and they consume a huge part of federal and state budgets. So how could DOGE impact these services? For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org)Email us at [email protected])Learn more about sponsor message choices: podcastchoices.com/adchoices)NPR Privacy Policy)