# The Week in Review and Understanding the Medicaid Data Dump with Samir Unni Page: https://stenobird.com/podcast/the-doctor-s-lounge-7442524/the-week-in-review-and-understanding-the-medicaid-data-dump-with-samir-unni Text version: https://stenobird.com/podcast/the-doctor-s-lounge-7442524/the-week-in-review-and-understanding-the-medicaid-data-dump-with-samir-unni.md Podcast: [The Doctor's Lounge](https://stenobird.com/podcast/the-doctor-s-lounge-7442524) Published: 2026-02-21T15:59:09+00:00 Episode link: https://api.riverside.com/hosting-analytics/media/84662201036494c0022b82453b284f72af3b9e8f5465e4cce59c16ce71b24b23/eyJlcGlzb2RlSWQiOiJjMTY5OTg4Mi0xMzQwLTRkMjAtODMyMC1jY2FkNGE4YTRmNWIiLCJwb2RjYXN0SWQiOiI1OTUwMWY1OS1hY2E0LTRkZWYtYmQ5OS1hMDQzYTY4MDIyNjMiLCJhY2NvdW50SWQiOiI2OTJmNTE0YTZlYjA1ZDMyNzdmZTA2OWQiLCJwYXRoIjoibWVkaWEvY2xpcHMvNjk5OWM5YjJkZGRhYzc4MjcwMmU4MmM5L2RvY3RvcnMtbG91bmdlcy1zdHVkaW8tY29tcG9zZXItMjAyNi0yLTIxX18xNi01LTIyLm1wMyJ9.mp3 Audio file: https://api.riverside.com/hosting-analytics/media/84662201036494c0022b82453b284f72af3b9e8f5465e4cce59c16ce71b24b23/eyJlcGlzb2RlSWQiOiJjMTY5OTg4Mi0xMzQwLTRkMjAtODMyMC1jY2FkNGE4YTRmNWIiLCJwb2RjYXN0SWQiOiI1OTUwMWY1OS1hY2E0LTRkZWYtYmQ5OS1hMDQzYTY4MDIyNjMiLCJhY2NvdW50SWQiOiI2OTJmNTE0YTZlYjA1ZDMyNzdmZTA2OWQiLCJwYXRoIjoibWVkaWEvY2xpcHMvNjk5OWM5YjJkZGRhYzc4MjcwMmU4MmM5L2RvY3RvcnMtbG91bmdlcy1zdHVkaW8tY29tcG9zZXItMjAyNi0yLTIxX18xNi01LTIyLm1wMyJ9.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/the-doctor-s-lounge-7442524/episodes/the-week-in-review-and-understanding-the-medicaid-data-dump-with-samir-unni Duration seconds: 4283 ## Resource 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. Subscribe to The Doctor's Lounge: Apple Podcasts | Spotify | YouTube | RSS Follow the Show: X: @drsloun… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/the-doctor-s-lounge-7442524/episodes/the-week-in-review-and-understanding-the-medicaid-data-dump-with-samir-unni/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/the-doctor-s-lounge-7442524/the-week-in-review-and-understanding-the-medicaid-data-dump-with-samir-unni.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.