Harsh P. Parikh

speaker
227 appearances 1 recordings 1 series first heard Jul 2026 last heard 17 Jul

Harsh P. Parikh’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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CBO said, well, this is gonna lead to about $150 billion in savings.
The way the proposed rule now is being scored, it looks like, and may the you were sort of talking about some of this, the uh the agency is really flexing its muscle and
Arguably going beyond what Congress had contemplated in terms of these cuts.
And it's staggering.
I mean, just this I mean, it you know, i in some ways, right, these mechanisms to draw more federal matching revenues are seen as being perhaps abusive, but
the dollars are going to health care and so
This sort of goes to the point that we've been harping on all session, that we're gonna see less and less federal revenues going towards healthcare.
So what what's the reaction been to, you know, folks seeing the proposed rule and sort of seeing that it's even more aggressive than the underlying legislation?
Wha what does this mean from a state financial advisory perspective?
Yeah.
Um, we're we're running out of time, so I want to hit a couple of things before we end.
Um, and why don't you and I talk briefly about the rural health transformation program?
In some ways, this was meant to soften the blow that we've been uh talking about, right?
So uh just quick background: fifty billion dollars um uh essentially was allocated by Congress, 10 billion a year from fiscal year 26 to 30.
The applications were open end of last year.
We briefly touched on this on our last podcast.
The money's sort of now being doled out all across the country.
Every state, I think, has received something.
So give us a quick, quick update um uh on on where this program is.
And the money is not like this is going to community hospitals in rural America.
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