Trump Calls for Medicaid Overhaul

The Trump administration on Monday released its proposed budget for fiscal year 2020, calling for government-wide domestic spending cuts of 5%, a site-neutral payment system for health care providers and a major Medicaid overhaul.

The proposed budget — unlikely to make it past a democrat-controlled House of Representatives — also seeks to curb Medicare spending by increasing prior authorization on items vulnerable to fraud, waste and abuse.

While presidential budget proposals seldom proceed as submitted, they offer insight into priorities for the year ahead. Any Trump administration efforts to minimize the Medicaid or Medicare programs, however, would assuredly be met with resistance from home-based care advocates and providers, many of whom are feeling financial pressures from a worsening labor crisis and lagging reimbursement levels.

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