Episode Title: The Medicaid Data Dump: $1.7 Billion in Billing From Shell Companies and Why Nobody Stopped It

Guest: Samir Unni | Biomedical Engineer, former Palantir healthcare data lead, currently working on federal data modernization efforts

Chapters

00:00 Introduction and Technical Difficulties

02:47 Reflections on Jay Bhattacharya's Insights

06:04 Navigating Polarization in Science

08:50 Moderna's Flu Vaccine Controversy

11:56 Understanding the FDA's Refusal to File

14:58 The Medicaid Data Dump and Its Implications

17:50 Duplicate Payments in Medicaid

20:59 The Role of Transparency in Healthcare

24:01 Home Health Services and Fraud Risks

42:57 Understanding Fraud in Government Billing

46:51 Political Ramifications of Home Health Agencies

50:53 Analyzing Data for Fraud Detection

56:30 Incentives and Accountability in Healthcare

01:01:52 The Role of Technology in Fraud Prevention

01:12:32 Legislative Solutions to Healthcare Fraud

Resources Mentioned:

• Samir Unni's viral Medicaid data thread (@SamirUnni on X)
• CMS TMSIS Medicaid provider-level data release
• Anish Koka's deep dive on Fluarix clinical efficacy
• HHS Office of Inspector General excluded individuals/entities list
• Dr. Mandrola's posts on the Moderna/FDA controversy
• Alex Berenson's report on autism behavioral therapy billing trends

About Samir Unni:

Samir Unni is a biomedical engineer who has spent over a decade working at the intersection of healthcare and data analytics. He previously served as a lead at Palantir working with government and healthcare organizations, and is now focused on modernizing how the federal government leverages AI and data tools to identify waste and fraud in public health programs.

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Co-hosts: @anish_koka | @drdanchoi | @dutchrojas | @sdixitmd | @DrDiGiorgio