Minnesota Is Just the Tip of The Iceberg: NY’s Medicaid Home-Care System Is Rife With Fraud, Statistical Impossibility

If Minnesota’s fraud scandal shocks you, wait until investigators turn their attention to New York City’s Medicaid-funded home healthcare racket. Home health aides have become the largest single occupation in New York, accounting for roughly 40 percent of all job growth — an explosion driven almost entirely by Medicaid dollars. The state now claims 171 aides for every 1,000 residents aged 65 and over, the highest rate in the nation and 153 percent above the national average. That level of “need” defies basic demographics. The system relies heavily on self-reported caregiving, often by family members, with weak real-time verification and minimal auditing. When a program grows this large, this fast, with this little oversight, fraud isn’t an anomaly — it’s baked in. This isn’t about caring for the vulnerable. It’s about a Medicaid pipeline so bloated and credulous that taxpayers are funding a workforce whose scale simply cannot be real.

Home health and personal care aides are now the single largest job category in New York State, and their growth has been extraordinary. The Empire Center, using BLS data, reports NY had roughly 623,000 aides as of May 2024 and that the category represented about 38% of all job growth in the state. (Empire Center for Public Policy)

For the whole of the twentieth century, New York City’s wealth was driven by myriad sectors – manufacturing, with the garment trade being a dominant force finance, publishing, technology and shipping through its major port. The unions drove manufacturing out. It’s non-existent. And successive Democrat governments, through burdensome regulation and high taxes, drove out almost everyone else. Today the two largest employers in NYC is the government and Wall Street (financial sector).

NYC JOB “GROWTH” IS MOSTLY TAXPAYER-FUNDED HEALTH & SOCIAL ASSISTANCE

Since March 2020, nearly all net job gains come from "Health & Social Assistance", a sector dominated by taxpayer-funded roles like home health care and "migrant services".

Private, goods-producing jobs are… pic.twitter.com/6UzH7liP6b

— Reza Chowdhury (@RezaC1) December 29, 2025

The big dirty secret is NYC is kept afloat with taxpayer funded fraud.

If you think Minnesota is bad, just wait until they look into the NYC home healthcare scam, all paid for by Medicaid.

Home health aides are now the largest single occupation, and ~40% of all job growth, in New York.

New York has 171 aides per 1,000 residents aged 65+, the… https://t.co/8ybkIqwP8p

— John LeFevre (@JohnLeFevre) December 28, 2025

The New York City home-healthcare scheme illustrates how Medicaid’s design failures invite industrial-scale abuse. At the center are third-party administrators — including Public Partnerships LLC (PPL) and Leading Edge Administrators — contracted to manage payroll and “benefits” for personal care aides. On paper, these arrangements promise efficiency. In practice, they create opaque money flows with minimal oversight.

One example is the much-touted Flex Card model. Funds are deducted from workers’ paychecks and earmarked for restricted benefits that are difficult to use, poorly explained, and time-limited. The predictable result: large balances go unspent — reportedly approaching 30% — allowing administrators to retain or recycle funds while workers never receive the compensation they were promised. This isn’t a glitch; it’s a feature of predatory design, where friction equals profit.

The scale of opportunity is enormous. New York’s home-care workforce is dramatically oversized relative to need, with roughly 171 aides per 1,000 seniors — about 153% above the national average. Such an imbalance is a classic red flag for eligibility inflation, phantom services, and inflated billing. When supply vastly outstrips plausible demand, fraud doesn’t just slip through — it flourishes.

All of this unfolds against a national backdrop of chronic Medicaid leakage. Federal audits have repeatedly found tens of billions of dollars in improper payments annually, yet Washington’s response has been to outsource more functions rather than enforce rigorous eligibility checks, utilization reviews, and clawbacks. Contractors are paid to move money, not to question whether it should be moving at all.

The incentives are upside-down. Low-wage aides shoulder administrative complexity and lose access to earned compensation. Taxpayers absorb the cost. Contractors collect fees insulated from outcomes. And state agencies point to compliance paperwork while avoiding the harder work of field audits, beneficiary verification, and real enforcement.

This isn’t about care delivery. It’s about a rent-seeking ecosystem where complexity substitutes for accountability. Until eligibility is tightened, benefit designs are simplified and audited, and administrators are paid based on value delivered — not dollars processed — the same result is guaranteed: workers shortchanged, taxpayers fleeced, and fraud normalized as “program management.”

It all makes sense now…

In October 2024, Kamala posted 11 times about expanding Medicare/Medicaid coverage for home healthcare. pic.twitter.com/dXZpp7kmyC

— John LeFevre (@JohnLeFevre) December 28, 2025

The NYC home healthcare scam is a textbook example of systemic Medicaid fraud enabled by bureaucratic negligence. Leading Edge Administrators and Public Partnerships LLC (PPL) are siphoning tens of millions from workers’ paychecks through unworkable “benefits” like their Flex…

— DOGEai TX (@DOGEai_tx) December 28, 2025

Also…..

California is the fraud capitol of the U.S.

BREAKING – A 92-page report by the California State Auditor has found that over $70 billion in taxpayer funds have been lost, including $2.5 billion in SNAP fraud, $24 billion on fighting homelessness, and $18 billion for a high-speed rail where not a single track has been laid. pic.twitter.com/WjTCzTyElU

— Right Angle News Network (@Rightanglenews) December 24, 2025

The Maine Department of Health and Human Services just cancelled $1,000,000 in medicaid payments to a somali run healthcare organization after uncovering FRAUD

More Somali welfare fraud. It’s a Democrat money laundering operation

— Libs of TikTok (@libsoftiktok) December 28, 2025

Maine.

Boise Idaho… Same issues likely as Minnesota.

This is a national problem, not just in Minnesota. The 3rd world has figured out this scam to loot the federal govt and state agencies.

When are we going to see these places getting raided and the 3rd world trash being arrested? https://t.co/5L1JzJVXEs

— Wall Street Mav (@WallStreetMav) December 28, 2025

Idaho.

This is getting ridiculous. https://t.co/8Jgcg7H9KI

— DataRepublican (small r) (@DataRepublican) December 28, 2025

Utah.

There are 539 childcare centers in Washington state that list Somali as the primary language. Most don’t even give a street address.

I don’t know how many of these are submitting fraudulent claims for state grants and subsidies, but I have a strong hunch the number is not zero. pic.twitter.com/FoUQiFNqM6

— Kristen Mag (@kristenmag) December 28, 2025

Washington state.

It’s not just the Somalis in Minnesota.

The Dems opened up our nation to anyone who would come here and vote for them, in exchange for our tax dollars.

They use shell companies to funnel public money to the immigrants, meaning we are slaves that fund the people replacing us.… pic.twitter.com/XMWwyvl1aF

— Clandestine (@WarClandestine) December 28, 2025

Here, there, and everywhere.