Republicans are searching for ways to eliminate “fraud, waste, and abuse” in Medicaid, the federal-state entitlement created to provide health coverage for low-income, pregnant, homeless, and disabled people.

It’s long past time. According to a new report from the Paragon Health Institute’s Brian Blase and the Economic Policy Innovation Center’s Rachel Greszler, Medicaid doled out roughly $1.1 trillion in improper payments over the past decade — double the official estimate from the Centers for Medicare and Medicaid Services. 

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