I didn't address this. Hate to break it to you, but it isn't "fraud" and throwing as much money as possible at people. In fact, Medicaid often doesn't completely cover costs of providing service.
They do things like this though. They'll take a drug like Adderall not get around to adding it to the generic formulary for a year (and it's STILL not covered), but they'll pay five times that for the brand name only. Private insurance took no more than five days to do what Medicaid didn't get around too.
Speaking of drugs, how about $2k for a months worth of Oxycontin brand name? All the patient has to do is ask the doc to write for brand only and there you go. Most private insurances would pay for the generic, again at about a fifth the price since it's the equivalent med.
And then we have the wonderful way eligibility is handled. If you make 5 dollars over the limit per month, you lose all benefits. No sliding scale. Nothing. You get tossed. Why? Because half a century ago that's how it was implemented. They haven't gotten around to making any changes. Can't rush them.
So the system sucks, pays for things it never should, doesn't cover people it should, pays people to pound out puppies, and on and on.
Fifty years of this, and it's beyond out of control.
What do the pols say? That they WILL NOT address the issue. "Reform" consists of adding more people to a broken system.