Automated algorithmic analysis and insurance discovery engines (AAAIDE) are becoming cornerstones of modern Medicaid operations. By identifying liable third-party coverage at the point of claim adjudication, these technologies reduce improper payments, strengthen payment accuracy, and improve coordination of benefits. This priority is now reflected in state...
Our monthly Medicaid news roundup provides a concise overview of policy developments, research, and legislative updates affecting Medicaid programs. Topics include program integrity, cost avoidance opportunities, coordination of benefits, and initiatives aimed at reducing improper payments and fraud. Below is a recap of last month’s...
Drug pricing reform is a common Medicaid cost-containment strategy. Policymakers continue exploring expanded rebates, alternative purchasing models, and other approaches designed to reduce pharmacy spending and ease pressure on state budgets. Lower drug prices can generate meaningful savings. However, they address only part of Medicaid's financial...
Syrtis Solutions distributes a monthly Medicaid news digest designed to keep policymakers and healthcare leaders informed. The summary highlights key developments in Medicaid program integrity, coordination of benefits, cost avoidance, and efforts to prevent improper payments, fraud, waste, and abuse. Below is a summary of...
Stephen Konsin Jr. from Syrtis Solutions, a solution provider at the Marcus Evans Value-Based Care Summit 2026, discusses the growing need for proactive Medicaid payment accuracy and cost avoidance strategies. Interview with: Stephen Konsin Jr., Vice President of Sales, Syrtis Solutions “The window for demonstrating proactive prevention...
Our monthly Medicaid news roundup provides a concise overview of policy developments, research, and legislative updates affecting Medicaid programs. Topics include program integrity, cost avoidance opportunities, coordination of benefits, and initiatives aimed at reducing improper payments and fraud. Below is a recap of last month’s...
Medicaid has evolved into a critical safety net, providing healthcare coverage to millions of Americans who rely on it for access to essential services. As the program has expanded in both size and complexity, so too has the challenge of ensuring that every dollar is...
To help healthcare leaders stay informed, Syrtis Solutions provides a monthly Medicaid news briefing covering important industry developments. The summary focuses on program integrity, coordination of benefits, cost avoidance strategies, and efforts to reduce improper payments and fraud within Medicaid. Below is a summary of...
Medicaid agencies administer one of the most complex public health programs in the nation. Each day, they determine eligibility, process high volumes of pharmacy and medical claims, coordinate benefits with other payers, and oversee provider participation—all while ensuring uninterrupted access to care for millions of...
To help Medicaid programs stay informed and proactive, Syrtis Solutions releases a monthly news summary covering integrity-related research, legislation, and oversight trends. Below are the key Medicaid developments from the last month. Click here and open the news. ...