The $145 Billion Healthcare Industry Hiding in Plain Sight
Every year, the U.S. government spends nearly $146 billion in one corner of healthcare that almost nobody outside of it knows exists. No medical degree. No hospital. No clinical license. Just a recurring, government-funded model built to last generations — if you understand how it actually works. In this free class, I'll pull back the curtain on all of it.
- The overlooked corner of healthcare
- Who actually qualifies
- The myth that stops 90%
Hosted live by Todd Pultz
Founder, Maxxed Out
Save your seat — free
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$145.9B
Medicaid home- & community-based services (2023, CMS)
5M+
Americans use Medicaid home care every year (KFF)
~70%
Of all U.S. home care spending is Medicaid
$0
To attend the live class
Taught live by Todd PultzHere's what almost nobody realizes
While everyone's fighting over crypto, real estate, and the next startup, there's a quiet part of the American healthcare system moving nearly $146 billion a year. It's funded by a source that doesn't disappear in a recession. It pays providers every single month. And more than 5 million Americans rely on it right now — with demand climbing as the country ages. Most people walk right past it their entire lives. The ones who understand it are building something real.
Free live masterclass
On this free class, I'll break down:
The overlooked corner of healthcare
It pays operators monthly — funded by a source that doesn't dry up the way private-pay clients do.
Who actually qualifies
Why this has nothing to do with medical school, nursing, or years of training.
The myth that stops 90%
Getting enrolled and getting clients are two completely different things — and almost no one teaches the difference.
A generational asset
How this becomes something you can systematize and pass down — not just another hustle you have to keep grinding.
Why nobody else teaches this
I'm the only person we know of teaching this online anywhere in the country — and the industry stays quiet about it.
The honest truth
The money, the timeline, and exactly who this is not for.
The agenda
What we'll cover, live
- 1
The opportunity most people never see
The $145.9B provider side of Medicaid — and why the timing matters right now.
- 2
Approved vs. paid
The single mistake that stops most people cold, and how to avoid it from day one.
- 3
Who this is for (and who it isn't)
The honest truth about qualifications, capital, and timeline.
- 4
Building your referral pipeline
How real operators turn a license into recurring, government-backed revenue.
- 5
Live Q&A
Bring your state and your situation. VIPs stay on for a private, extended Q&A.
The honest part
Who this is for
This isn't a side-gig class for beginners. It's for established, driven entrepreneurs who want a recurring, government-backed income stream — and are willing to build it the right way.
This is for you if…
- You're an established, driven entrepreneur — not shopping for a side gig
- You want a recurring, government-backed income stream
- You're willing to build it the right way, even when it takes real work
- You want something that lasts — not another trend
It's not for you if…
- You want get-rich-quick — close this page now
- You're not willing to follow a proven process
- You quit the second something gets hard
If you want get-rich-quick, close this page now. If you want something that lasts, you're in the right room.
Why listen to me
Todd Pultz
Founder, Maxxed Out
I don't teach this from theory. I operate in this world in the real world, every day. Most of what's online about this space is wrong, incomplete, or sold by people who've never actually done it. On this class I'll show you what works, flag the parts that are genuinely hard, and tell you the truth about the numbers. That's the entire point.
⚡ Upgrade to VIP — just $27
The free class is the free class. VIP is where you get YOUR questions answered.
- Stay on after the main session for a private, extended live Q&A — bring your state, your situation, your specific roadblock
- Priority — your questions get answered first
- The “Hidden Industry Starter Map” — given to you live on the Q&A
Only a limited number of VIP seats. Once they're gone, they're gone.
Yes — Add VIP Access ($27) →Questions
Frequently asked
Is this actually legal / legitimate?
100%. This is an established, government-funded part of the U.S. healthcare system that's existed for decades and operates in all 50 states. I'll show you exactly what it is and how it's regulated on the class.
Do I need a medical or healthcare background?
No. This is one of the most common misconceptions, and it's exactly what keeps most people from ever looking into it. You are not the one providing medical care. I'll explain the actual role on the class.
What does Medicaid have to do with making money?
More than almost anyone realizes. Most people think of Medicaid only as coverage for individuals — they have no idea about the provider side, where nearly $146 billion a year actually flows. That's the whole "hidden industry."
Is this a home health / home care agency thing?
It's related to that world but it is not what most people picture, and the specific model I teach is different from the crowded lane everyone already knows about. I'll draw the distinction clearly on the class.
Does this work in my state?
This exists in every state — but the rules, the money, and the path in vary significantly from one state to the next. Part of what I do is map it state by state. On the class I'll show you how to think about your specific state.
How much money do I need to start?
It's not free to start, and I won't pretend it is. It's also far less capital-intensive than most "real" businesses of this size. I'll give you honest ranges on the class instead of a fantasy number.
Isn't Medicaid getting cut? Is this still a good time?
Fair question, and I'll address it head-on rather than dodge it. Yes — 2025 legislation reduces the growth of federal Medicaid spending over the next decade. But demand for these specific services is rising fast as the population ages, the money still runs into the hundreds of billions, and the need isn't going anywhere. I'll give you the real picture, not a hype version.
How long is the class?
Plan for about 60–90 minutes, plus live Q&A. VIP members stay on longer for the private session.
Is there something for sale at the end?
Yes, and I'll be upfront about it: for people who want to go further, I offer a program that walks you through this step by step. But the class delivers real value whether you ever buy anything or not. Come for the education.
Seats are limited
Claim your free seat before they're gone
- Live Q&A — bring your state and your situation
- The honest numbers, timeline, and who it's really for
- Optional VIP: private extended Q&A, your questions answered first
Save your seat — free
No upcoming sessions scheduled yet — check back soon.
The $145 Billion Healthcare Industry Hiding in Plain Sight