Balancing Colorado’s Budget Means Ending Medicaid Bloat

Colorado’s budget deficits will continue until Medicaid spending improves. As the National Association of State Budget Officers has pointed out, Colorado’s “FY25 spending gap was due, primarily, to Medicaid related over-expenditures.” As reported by the Colorado Sun, Joint Budget Committee Staff Director Craig Harper has warned that the Colorado legislature will continue to produce budgets […]

Using the False Claims Act to second-guess what patients need: Hungry relators, outsized DOJ recoveries, and the adverse consequences for American health care

The FCA’s aggressive use in health care cases by both the government and private parties means that nowadays, allegations go well beyond “fraud” in any traditional sense of that word, allowing the government and relators’ lawyers to retroactively second-guess physician decision-making, all the while wielding the formidable threat of treble damages and potentially crippling penalties.

How flawed government health coverage incentives lead to poor quality care

by Linda Gorman Data from the Department of Health Care Policy and Financing (HCPF) and the Colorado Hospital Association show that government health programs are not paying their way. Colorado’s Medicaid program pays 75 percent of its patients’ hospital costs. Medicare pays just 72 percent. People who pay for their own health care pay 158 […]