The contradiction is glaring: before asking taxpayers for more, why not stop the billions already being stolen?
PUBLIUS SPECIAL GUEST: Julian Hagmann is the Chief Operating Officer of Caring Professionals, Inc. He testified before the New York State Senate Joint Committee of the Senate Standing Committee on Health and the Senate Standing Committee on Investigations and Government Operations on concerns regarding the mandate for a single fiscal intermediary and its impact on The Consumer Directed Personal Assistance Program (CDPAP.)
A major political and financial showdown is unfolding in New York—and it cuts straight to the question voters care about most: why raise taxes when billions are already being lost to fraud?
Dr. Mehmet Oz has just launched a sweeping probe into New York’s $124 billion Medicaid program—the most expensive in the nation, with per-recipient costs 36% above the national average and a long record of abuse. The numbers are staggering:
- $1.2 billion lost in a single home-care fraud scheme
- $68 million in adult day-care kickbacks
- Up to $196 million in fraudulent transportation billing
- Billions more in improper payments
At the same time, NYC Mayor Zohran Mamdani is pushing aggressive new tax proposals to close a $5.4 billion budget gap—including slashing the estate tax exemption by nearly 90%, hiking the top rate to 50%, increasing income taxes on high earners, raising corporate taxes, and even floating a 9.5% property tax increase.
The contradiction is glaring: before asking taxpayers for more, why not stop the billions already being stolen?
BIO: Julian Hagmann is the Chief Operating Officer, Caring Professionals, Inc. A driven and results-oriented healthcare executive with more than a decade of experience in strategic planning, business development, and organizational growth. As Chief Operating Officer at Caring Professionals, Inc.—a licensed home care agency and fiscal intermediary—he oversees operations that deliver essential services to older adults and individuals with disabilities. His mission is to elevate business performance, enhance service quality, and maximize productivity across all departments while ensuring strict compliance with state regulations and industry best practices.
Julian has a proven record of generating multi-million-dollar growth, securing complex multi-year government and private contracts, and significantly increasing organizational revenue. His strategic leadership has expanded market share, launched innovative service lines, and optimized operations to support long-term sustainability. Through process improvements and the adoption of advanced technology solutions, he has reduced administrative burdens, minimized client attrition, and positioned the organization for continued success. He also led the development of a high-quality Request for Offer (RFO), securing a critical state contract and ensuring uninterrupted care for vulnerable populations.
His expertise spans healthcare technology, value-based selling, territory development, operations management, and forming strategic partnerships.
Deeply engaged in the state’s healthcare community, Julian serves as President for two associations and Executive Secretary for another. With extensive experience in self-direction and licensed home health services, he is committed to making a meaningful, lasting impact on the individuals and communities he serves.
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