It’s not 50% of all Medicaid spending. Minnesota spends about 18B a year (federal + state) on Medicaid). This is an alleged 9b of fraud over 7 years in specific services, so about a billion a year. An organization Minnesota knew was likely fraudulent at the time was still able to steal 250m in a year during COVID so a billion a year doesn’t seem too far fetched.
germinalphrase|2 months ago