The head of the Medicare and Medicaid programs failed to properly manage more than $6 million in communications and outreach contracts, giving broad authority over federal employees to a Republican media strategist she worked with before joining the Trump administration, a government watchdog said in a report to be released Thursday.
The head of the Centers for Medicare and Medicaid Services said requiring work or community involvement can make a positive difference in people’s lives and health. But advocates said work requirements will become one more hoop for low-income people.