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As Medicaid's rolls have swelled under the Affordable Care Act's expansion, millions more Americans have been moved into privately administered Medicaid managed care plans. But oversight of those programs is often lacking, NPR and Kaiser Health News report.

Why it matters: Medicaid managed care plans now cover more than 54 million people, and collect more than $300 billion from the states for that service.

  • "We haven't been holding plans to the level of scrutiny they need," Andrew Bindman, a former director of the Agency for Healthcare Research and Quality, told KHN.

Details, per KHN/NPR report:

"State lawmakers in Mississippi ... criticized their Medicaid program last year for ignoring the poor performance of two insurers."
"In Illinois, auditors said in January that the state didn't properly monitor $7 billion paid to Medicaid plans in 2016."
"Iowa's state ombudsman said Medicaid insurers there had denied or reduced services to disabled patients in a 'stubborn and absurd' way."

Go deeper

In photos: D.C. and U.S. states on alert for pre-inauguration violence

National Guard troops stand behind security fencing with the dome of the U.S. Capitol Building behind them, on Jan. 16. Photo: Kent Nishimura / Los Angeles Times via Getty Images

Security has been stepped up in Washington, D.C., and state capitols across the U.S. as authorities brace for potential violence this weekend.

Driving the news: Following the Jan. 6 insurrection at the U.S. Capitol by some supporters of President Trump, the FBI has said there could be armed protests in D.C. and in all 50 state capitols in the run-up to President-elect Joe Biden's inauguration Wednesday.

The new Washington

Illustration: Sarah Grillo/Axios

The Axios subject-matter experts brief you on the incoming administration's plans and team.

Rep. Lou Correa tests positive for COVID-19

Lou Correa. Photo: Tom Williams/CQ-Roll Call, Inc via Getty Images

Rep. Lou Correa (D-Calif.) announced on Saturday that he has tested positive for the coronavirus.

Why it matters: Correa is the latest Democratic lawmaker to share his positive test results after last week's deadly Capitol riot. Correa did not shelter in the designated safe zone with his congressional colleagues during the siege, per a spokesperson, instead staying outside to help Capitol Police.

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