Anish Koka, MD(@anish_koka):After Obamacare, Medicaid spending almost tripled because it was free federal money for states. Since 90% of the Medicaid expansion after Obama is funded by the Feds, there was no real incentive to police the spend. The other ignored story is that this data has been kept under wraps and accessible to only a few academic centers. Academics with access for some reason never chose to publish on amount of Medicaid fraud/waste in the program. 🤔

2026.08.04 14:31

After Obamacare, Medicaid spending almost tripled because it was free federal money for states. Since 90% of the Medicaid expansion after Obama is funded by the Feds, there was no real incentive to police the spend. The other ignored story is that this data has been kept under wraps and accessible to only a few academic centers. Academics with access for some reason never chose to publish on amount of Medicaid fraud/waste in the program. 🤔