The Center for Accountability, Modernization and Innovation (CAMI) provides leadership to make government work better for the American people.
Joined March 2020
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NEW BLOG: Under @SBAgov’s proposed size standards, an IT services firm earning $531M a year would count as “small.”
Read our analysis and proposed $25 million cap to protect the Rule of Two’s original purpose.👇
thecenterforami.org/blog/sba…
JUST IN: A new Florida TaxWatch briefing details how states’ outdated Medicaid eligibility systems have allowed for the proliferation of multiple capitated payments for the same beneficiary.
Between 2009 and 2019, states sent nearly a quarter billion dollars in unallowable Medicaid capitation payments to MCOs on behalf of deceased enrollees. And it’s only gotten worse.
Data from August 2020 shows capitation payments were made on behalf of 327,497 concurrently enrolled beneficiaries, a steep increase from 2019 when this figure stood at 208,254.
This briefing comes on the heels of CMS' announcement last week that identified 189K people receiving subsidized ACA Marketplace coverage who were also enrolled in Medicaid, Medicare, or were deceased.
Read the full briefing here ⬇️
floridataxwatch.org/multiple…
NEW in @WSJ: CAMI Board Chair Stan Soloway points out how delaying reform won’t fix SNAP and Medicaid error rates. States have put off modernization for decades.
To modernize SNAP, states need better data infrastructure, verification tools that improve eligibility accuracy and staffing flexibility. And they need them now.
wsj.com/opinion/to-modernize…
NEW OP-ED: CAMI Board Chair @StanSoloway writes in @postandcourier that South Carolina's next governor will inherit years of deferred Medicaid modernization, and OBBBA's new error-rate penalties won't wait for them to catch up.
Read the full op-ed below⬇️
SC candidates for governor have staked their campaigns on education, infrastructure and pocketbook issues. None has seriously spoken to the Medicaid provisions in the One Big Beautiful Bill law. postandcourier.com/opinion/c…
States have until October 1, 2027 to get their SNAP error rates under control, or face penalties that could run into the hundreds of millions.
CAMI's new blog breaks down what's driving the crisis, what states need to do about it, and how the Senate can help👇
thecenterforami.org/blog/obb…
NEW PODCAST: CMCS’s Dr. Caprice Knapp sat down with former congressman John Faso to talk about the importance of a data first approach, and how it fits into the wider Medicaid modernization push as states work to implement OBBBA’s Medicaid provisions.
Listen to the full podcast here👇
thecenterforami.org/podcast
None of Tennessee's gubernatorial candidates are talking about Medicaid implementation.
Given OBBBA’s new error-rate penalties and Tennessee’s own history of eligibility failures, that's a problem.
As CAMI Board Chair @stansoloway argues in a NEW op-ed, this is why the Volunteer state's next Governor needs a modernization plan before they take office, not after the penalties land.
Read the full op-ed in the @Tennessean below⬇️
Opinion: This billion-dollar issue is waiting for TN's next governor | Opinion tennessean.com/story/opinion…
"Florida has a chance to show the rest of the country what it looks like to implement Medicaid reform the right way."
CAMI Board Chairman @StanSoloway's NEW op-ed in @FLVoiceNews explains what Florida's next governor must do to turn federal Medicaid reform into lasting results:
Read the full op-ed below:
flvoicenews.com/floridas-nex…
CMS's six-month moratorium on new hospice & home health enrollments is a critical first step against fraud that's drained taxpayer dollars, but Medicare is only part of the picture.
The real test is carrying this same urgency into Medicaid.
Read our full statement⬇️: thecenterforami.org/newsadvo…
States need more than national security checkboxes when it comes to AI systems making high-stakes decisions about healthcare, benefits, and child welfare.
For AI to truly modernize government, we need enforceable standards for oversight, real-world performance testing, and clear accountability.
Read the breakdown in @TheCenterForAMI's new blog post:
thecenterforami.org/blog/bui…
30 days, every state. A two-year Medicaid revalidation strategy due to CMS.
The states that treat this as a genuine reform opportunity, not a paper plan, will build programs that actually last.
New blog from CAMI:
thecenterforami.org/blog/bey…
OBBB is raising the stakes. States that can't get error rates below the new national threshold will be forced to shoulder 15% of costs themselves.
Florida alone could face a $200 million fine. Other states aren't far behind.
Read the latest on how states can address this from @TheCenterForAMI below:
thecenterforami.org/blog/ken…
“Medicaid improper payments could top $30 billion...because states' systems literally can't talk to each other. That's a tech problem. And it has a tech solution.”
NEW: Op-ed from from CAMI Board Chair @stansoloway featured in @NextgovFCW👇
nextgov.com/ideas/2026/04/wa…
"The families of Minnesota who depend on SNAP need a Governor who fights for them when their benefits are stolen."
ICYMI: New Op-ed from CAMI Board Chair @stansoloway featured in @BlueNorthBeacon ⬇️
thecenterforami.org/newsadvo…
The Center For AMI retweeted
Guest Editorial: Minnesota’s Reform Governor Can Start Now
Bottom Line:
The families of Minnesota who depend on SNAP need a Governor who fights for them when their benefits are stolen
#mngov #mnpolitics #mndfl
open.substack.com/pub/blueno…
The White House Fraud Task Force Has an Important Role; CAMI Urges Focus on Root Causes
NEW: Read our statement on @WhiteHouse 's EO on combating fraud
Fraud and waste aren’t winning because bad actors are particularly clever - they are winning because government systems weren't built to talk to each other.
Modern technology can change this.
NEW from @TheCenterForAMI:
thecenterforami.org/blog/gov…
The President called it out at the #SOTU — waste and fraud in federal programs must end.
State leaders are on the front lines of this fight, but they need modern, flexible solutions.
NEW BLOG: Tackling Fraud AND Waste: A Dual Imperative for American Taxpayers thecenterforami.org/blog/gov…
