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Medicaid: While We Focus on Federal Government Dynamics, It’s Notable
document IMAGES-006-HOUSE_OVERSIGHT_020891.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Medicaid: While We Focus on Federal Government Dynamics, It’s Notable that State Government Medicaid Funding Also Faces Significant Challenges e Medicaid = Major and Growing Expense Line Item for State Governments - Medicaid funding responsibility is shared between federal & s...

Restructure Medicare & Medicaid: Policy Option #4
document IMAGES-006-HOUSE_OVERSIGHT_021001.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: Policy Option #4 Reducing Optional Services + Optional Beneficiary Groups' Could Save Up to ~60% of Annual Medicaid Cost, per Kaiser Family Foundation Note: 1) Medicaid is a jointly financed federal and state program that provides health and lon...

Medicaid: Facing Accelerating Cash Flow Deficits
document IMAGES-006-HOUSE_OVERSIGHT_020889.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Medicaid: Facing Accelerating Cash Flow Deficits e Social Welfare Program — Created in 1965 to provide health insurance to low-income population (2% of Americans under coverage then and 16% now’). e No Dedicated Funding — Federal funding comes from general revenue (all forms of...

Medicaid: Enrollment Is Up 12x to 49 Million While Annual Payments per
document IMAGES-006-HOUSE_OVERSIGHT_020890.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Medicaid: Enrollment Is Up 12x to 49 Million While Annual Payments per Beneficiary Are Up 4x to $5K From 1966 to 2009 Real Annual Medicaid Payments per Beneficiary & Enrollment, 1966 - 2009 EE wm mw me ms te cn i en en hs = = 50 $4,500 ---- mm Enrolment: © = er ene an an a Te...

ONE DOLLAR -- '�-=-----o..� vv.virginislandsdailynevvs.com
document TEXT-001-HOUSE_OVERSIGHT_021718.txt Jul 29, 2013 House Oversight Committee — Epstein Estate Records (Nov 2025)

…;' dressings. seasonings. fruit juices, smoothies and mead wine. • Foods made with locar mangoes are displayed. , \ . , Medicaid reimbursements ·to increase � - . . � ---=-=-----"'-- ' Daily News Staff ·/ST. CROIX - The VI. HumaD Services Department on .Friday released a notice o...

Restructure Medicare & Medicaid
document IMAGES-006-HOUSE_OVERSIGHT_020976.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: Observations About America’s Healthcare System 1) High Expenses — however measured, the costs are high: a) total dollars; b) share of GDP relative to other countries; c) cost relative to ability to pay (government, business, or individual), and...

Entitlement Spending: Medicare & Medicaid Payments per Beneficiary
document IMAGES-006-HOUSE_OVERSIGHT_020884.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Entitlement Spending: Medicare & Medicaid Payments per Beneficiary Have Risen Faster than Social Security Payments Owing to Rising Healthcare Costs + Expanded Coverage Percent Change in Real* Annual Social Security / Medicare / Medicaid 1966-2009 Payments per Beneficiary From 1...

Restructure Medicare & Medicaid: Economic Factors —
document IMAGES-006-HOUSE_OVERSIGHT_020989.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: Economic Factors — Employer and Government Funding System Separates Consumers from True Costs of Healthcare e When one doesn’t pay directly and gets an expensive good / service for free (or well below cost), one tends to consume more - it’s basi...

Restructure Medicare & Medicaid: Variables in Restructuring Medicare &
document IMAGES-006-HOUSE_OVERSIGHT_020977.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: Variables in Restructuring Medicare & Medicaid to Reduce Material Impact on USA Inc.’s Expenses Mathematical Illustrations* Slide 273-274 1) Medicare benefits — reduce them by 53% (or cap them)? or 2) Medicare tax rate — increase it by 4 percen...

Millions of Americans have come to rely on Medicare and Medicaid — and spending has
document IMAGES-006-HOUSE_OVERSIGHT_020833.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Millions of Americans have come to rely on Medicare and Medicaid — and spending has skyrocketed, to 21% of USA Inc.’s total expenses (or $724B) in F2010, up from 5% forty years ago. Together, Medicaid and Medicare — the programs providing health insurance to low-income household...

The charges included “IV therapy,” billed at $787 for the adult and $393 for the child, which sugges
document IMAGES-010-HOUSE_OVERSIGHT_028634.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…ate,” or the sticker price charged to people without insurance. She said she could not explain why patients covered by Medicaid were billed at all. Eventually the head of the family, an electrician’s helper who speaks little English, complained to HealthFirst, the Medicaid H.M....

Restructure Medicare & Medicaid: Economic Factors—
document IMAGES-006-HOUSE_OVERSIGHT_020988.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

Restructure Medicare & Medicaid: Economic Factors— Rise in Usage of “Open Access” Healthcare Plans Makes It Harder to Control Patient Choices...Subsequently, Cost of Care Increases Societal demand for less restrictive health insurance has driven a gradual switch to open access...

The charges included “IV therapy,” billed at $787 for the adult and $393 for the child, which sugges
document IMAGES-005-HOUSE_OVERSIGHT_019425.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

…ate,” or the sticker price charged to people without insurance. She said she could not explain why patients covered by Medicaid were billed at all. Eventually the head of the family, an electrician’s helper who speaks little English, complained to HealthFirst, the Medicaid H.M....

At the same time, however, these numbers don’t lie. With our demographics and our
document IMAGES-006-HOUSE_OVERSIGHT_020838.txt House Oversight Committee — Epstein Estate Records (Nov 2025)

… Medicare benefits; the federal government, together with the states, can also alter eligibility and benefit levels for Medicaid. Options for entitlement reform, operating efficiency, and stronger long-term GDP growth. As analysts, not public policy experts, we can offer mathem...

Unfunded Entitlement (Medicare + Social Security) + Underfunded
document IMAGES-006-HOUSE_OVERSIGHT_020965.txt Nov 10, 2009 House Oversight Committee — Epstein Estate Records (Nov 2025)

Unfunded Entitlement (Medicare + Social Security) + Underfunded Entitlement Expenditures (Medicaid) = Among Largest Long-Term Liabilities on USA Inc.'s Balance Sheet USA Balance Sheet Liabilities Composition, F2010 Unfunded Medicaid* Medicare $35.3T Unfunded $22.8T All se Vete...