‘Fraught With Fraud’: Exposing States’ Medicaid Money Dump
Federalist Radio Hour
Radio America
4.5 • 3.3K Ratings
🗓️ 27 February 2026
⏱️ 48 minutes
🧾️ Download transcript
Summary
Read more about Open the Book's role in exposing Medicaid fraud here and here.
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Transcript
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| 0:00.0 | And we are back with another edition of the Federalist Radio Hour. |
| 0:23.5 | I'm Matt Kittle, Senior Elections Correspondent at The Federalist and your experienced Sherpa on today's quest for knowledge. |
| 0:31.5 | As always, you can email the show at Radio at the Federalist.com. |
| 0:36.2 | Follow us on X at FDRLST. |
| 0:39.2 | Make sure to subscribe wherever you download your podcast |
| 0:41.4 | and, of course, to the premium version of our website as well. |
| 0:45.8 | Our guest today is John Hart, |
| 0:47.7 | CEO of Government, a Spending Tracker, Open the Books. |
| 0:51.9 | As the Federalist reported this week, |
| 0:56.4 | Open the Books Deep Dive into a Department of Health and Human Services documents, shows an explosion in state-administered |
| 1:03.3 | Medicaid payments to in-home service provider, personal assistant, those areas. A surging industry fraught with fraud. John, thank you so much |
| 1:15.5 | for joining us. I know you have been extremely busy of late. Well, Matt, thank you so much for |
| 1:20.3 | having me on again. And unfortunately, it is a very deep pool of waste that we have to dive in. But |
| 1:26.3 | we're glad to get the scuba gear on and shine a light |
| 1:30.1 | in these dark crevices of the federal bureaucracy. Yeah, you've got some sea creatures, some real |
| 1:35.7 | Leviaths going on down there. We could go with this analogy all day. I think we could, but |
| 1:41.1 | monstrosities. Yeah, no doubt. The, You know, the area that I think is just amazing, |
| 1:48.7 | payouts to personal assistance services have ballooned nationally between 2018 and |
| 1:55.8 | 2024. |
| 1:57.1 | Over that seven-year period, it's amazing what you folks have found. |
| 2:03.1 | Tell us a little bit about your findings and where all of this information is coming from. Yeah, Matt. Well, first of all, |
| 2:10.0 | I give a lot of credit to DHS. They dropped an unprecedented amount of data to help with public |
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