Follow the Billions

Inside the Medicaid machine. Data doesn't lie.

$0T

Total Spending

0K

Providers

0M

Records

Series Overview

Season 14 Episodes

The Machinery

How $1.09 trillion flows through the Medicaid system. Follow the money from aggregate spending to individual providers, procedure codes, and hidden network structures.

Explore Season 1
Season 24 Episodes

The Reckoning

What happens when the system resets. Explore the 2024 cliff, ownership consolidation, pricing dysfunction, and the path forward.

Explore Season 2
Interactive

Data Explorer

Explore the raw data behind every episode. Interactive timelines, provider networks, spending breakdowns, and procedure analysis.

Open Explorer

Your Hosts

MC

Marcus Cole

Data & Analysis

Former HHS data analyst turned independent researcher. Marcus spent eight years inside the federal healthcare data system before going independent. He reads T-MSIS data the way most people read spreadsheets — and he sees what the numbers are trying to say.

SC

Sarah Chen

Policy & Investigation

Healthcare policy reporter with a decade covering Medicaid, Medicare, and the intersection of public health and private profit. Sarah asks the questions that make bureaucrats uncomfortable and turns data into stories people understand.