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According to the latest Medicaid spending breakdown (20182024), the largest areas of spend arent surgeries or procedures they are: Home & Community-Based Services $338B (31%) Behavioral Health $116B (11%) E&M / Clinical Visits, ED, transport, therapy & rehab all areas tied to longitudinal care delivery In contrast, all procedures and surgeries combined total just $8.7B (0.8%) of Medicaid spend
The challenge is finding a plan that feels realistic and staying consistent with it over time
What we can say accurately (and supportably) is that these therapies improve several cardiometabolic risk markers linked to long-term vascular outcomes
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