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Medicaid intermediaries, bureaucracy, appreciation, fraudulent schemes, environmental impacts


In a recent letter to the editor published in the Minnesota Star Tribune, David Feinwachs, a former general counsel for the Minnesota Hospital Association, advocates for the removal of private insurance companies as middlemen in the state’s Medicaid program. Feinwachs argues that eliminating these middlemen would save taxpayers money and provide better care for Medicaid patients. He suggests that, despite opposition from hospitals and insurance companies, the federal government could bypass the state legislature and withdraw or modify Minnesota’s 1115 Medicaid waiver to achieve this goal.

On a similar note, Karen Tolkkinen wrote an article in the same newspaper about the struggles faced by small towns in accessing state funds. Leslie Lee’s experience in obtaining federal funds for flood relief mirrors the challenges that Wilmont Township clerk, the writer of the letter, faced in obtaining a Unique Entity Identifier. The bureaucratic red tape involved in these processes is particularly burdensome for those who are not accustomed to dealing with such procedures regularly.

Feinwachs and Tolkkinen’s articles shed light on the difficulties faced by both Medicaid patients and small-town officials in navigating government programs and accessing necessary funds. They highlight the need for streamlined processes and greater support for those who are not well-versed in the intricacies of bureaucracy.

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