Follow the Billions
Inside the Medicaid machine. Data doesn't lie.
Total Spending
Providers
Records
Series Overview
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 1The Reckoning
What happens when the system resets. Explore the 2024 cliff, ownership consolidation, pricing dysfunction, and the path forward.
Explore Season 2Data Explorer
Explore the raw data behind every episode. Interactive timelines, provider networks, spending breakdowns, and procedure analysis.
Open ExplorerYour Hosts
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.
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.