{"id":468593,"date":"2026-06-09T15:41:15","date_gmt":"2026-06-09T15:41:15","guid":{"rendered":"https:\/\/www.newsbeep.com\/nz\/468593\/"},"modified":"2026-06-09T15:41:15","modified_gmt":"2026-06-09T15:41:15","slug":"affordability-czar-targets-mediciaid-gimmicks-at-hospital-conference","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/nz\/468593\/","title":{"rendered":"Affordability czar targets Mediciaid &#8216;gimmicks&#8217; at hospital conference"},"content":{"rendered":"<p class=\"author-bio\">Tara covers the business of health care. Her stories focus on hospitals, doctors, and how their business practices affect patients \u2014 especially when private equity gets involved. She also writes about health insurance and ideas for improving our broken health system. You can reach Tara on Signal at tarabannow.70.<\/p>\n<p>NATIONAL HARBOR, Md. \u2014 Hospital finance leaders rolled out the red carpet for the Trump administration\u2019s new health care affordability czar at an industry conference on Monday. He promptly took the main stage to champion Medicaid cuts that threaten their bottom lines.\u00a0<\/p>\n<p>Casey Mulligan, appointed by Robert F. Kennedy Jr. as the Department of Health and Human Services\u2019 chief economist and chief regulatory officer <a href=\"https:\/\/www.hhs.gov\/press-room\/hhs-appoints-casey-b-mulligan-phd-as-chief-economist-and-chief-regulatory-officer.html\" target=\"_blank\" rel=\"noopener nofollow\">in April<\/a>, spent most of his speech at the Healthcare Financial Management Association\u2019s conference praising the One Big Beautiful Bill Act\u2019s cuts to state-directed payments, which the government projects <a href=\"https:\/\/www.statnews.com\/2026\/05\/22\/medicaid-state-directed-payments-trump-proposes-more-cuts\/\" rel=\"nofollow noopener\" target=\"_blank\">could save $510 billion<\/a> over 10 years.\u00a0<\/p>\n<p>State-directed payments work by first taxing Medicaid providers like hospitals and nursing homes, using that money to obtain federal Medicaid match dollars, and then redistributing the money to providers, often giving them more than they paid in taxes. Since 2024, some providers have gotten reimbursed at much higher commercial rates. The One Big Beautiful Bill Act will gradually trim those payments beginning in 2028 until they\u2019re close to or on par with Medicare rates.\u00a0<\/p>\n<p class=\"restricted-text\">STAT+ Exclusive Story<\/p>\n<p class=\"restricted-login\">Already have an account? <a href=\"https:\/\/www.statnews.com\/login\/\" data-stat-login=\"\" data-stat-paywall-cta=\"breaker login cta\" rel=\"nofollow noopener\" target=\"_blank\">Log in<\/a><\/p>\n<p>\t\t\t<img decoding=\"async\" class=\"restricted-content-breaker-bg\" src=\"https:\/\/www.newsbeep.com\/nz\/wp-content\/uploads\/2025\/09\/stat-plus-breaker-bg.png\" alt=\"STAT+\"\/><\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" rel=\"nofollow noopener\" target=\"_blank\"><br \/>\n\t\t\t\t\t\t<img decoding=\"async\" class=\"stat-plus-logo\" src=\"https:\/\/www.statnews.com\/wp-content\/themes\/stat\/images\/stat-plus-logo-white.svg\" alt=\"STAT+\"\/><br \/>\n\t\t\t\t\t<\/a><\/p>\n<p>\t\t\t\tThis article is exclusive to STAT+ subscribers<br \/>\n\t\t\t\tUnlock this article \u2014 plus daily intelligence on Capitol Hill and the life sciences industry \u2014 by subscribing to STAT+.<\/p>\n<p class=\"restricted-content-breaker-wrapper-cta mobile\">Already have an account? <a href=\"https:\/\/www.statnews.com\/login\/\" data-stat-login=\"\" data-stat-paywall-cta=\"breaker login cta mobile\" rel=\"nofollow noopener\" target=\"_blank\">Log in<\/a><\/p>\n<p>\t\t\t\t\t\tIndividual plans<\/p>\n<p>\t\t\t\t\t\tGroup plans<\/p>\n<p>\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" class=\"stat-button view-all\" data-stat-paywall-cta=\"breaker view all plans\" aria-label=\"View All Plans\" rel=\"nofollow noopener\" target=\"_blank\">View All Plans<\/a><\/p>\n<p class=\"restricted-content-text\">\n\t\t\t\t\t\tTo read the rest of this story subscribe to STAT+.\t\t\t\t\t<\/p>\n<p>\t\t\t\t\t<a href=\"https:\/\/www.statnews.com\/stat-plus\/\" class=\"stat-button restricted-button\" data-stat-paywall-cta=\"breaker subscribe cta 1\" rel=\"nofollow noopener\" target=\"_blank\">Subscribe<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Tara covers the business of health care. Her stories focus on hospitals, doctors, and how their business practices&hellip;\n","protected":false},"author":2,"featured_media":468594,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[134,24719,527,40330,3274,39209,111,139,69,7254,1676],"class_list":["post-468593","post","type-post","status-publish","format-standard","has-post-thumbnail","category-healthcare","tag-health","tag-health-care-costs","tag-healthcare","tag-hhs","tag-hospitals","tag-medicaid","tag-new-zealand","tag-newzealand","tag-nz","tag-policy","tag-stat"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/468593","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/comments?post=468593"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/posts\/468593\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media\/468594"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/media?parent=468593"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/categories?post=468593"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/nz\/wp-json\/wp\/v2\/tags?post=468593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}