01 Feb MEDICAID TPL REQUIREMENTS
The Social Security Act, signed into law by President Franklin Roosevelt in 1934, stipulates in the statute ยง 1902( a)( 25) of the legislation "...
Author: Eliott K
01 Feb MEDICAID TPL SOLUTION PRESENTS A SIGNIFICANT SAVINGS OPPORTUNITY
Dependence on the Medicaid program has increased exponentially over time. Presently, it is the single largest insurer in the United States, and in FY 2019, it accounted for over half of all federal monies allocated to states. Regrettably, as the program has grown, waste has...
31 Jan MEDICAID DATA IS COSTING THE PROGRAM BILLIONS
Medicaid currently fails at providing a system that efficiently and accurately saves and utilizes member data. As Medicaid is a joint state and federally run program, there are many issues with coordinating data platforms. Different states have their own unique data processing and storing, and...
06 Jan MEDICAID NEWS FROM 2022
Syrtis Solutions distributes a year end Medicaid summary to help you stay informed. The annual roundup concentrates on highlights, analysis, and legislation that relates to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a summary...
05 Jan MEDICAID NEWS IN DECEMBER
Syrtis Solutions distributes a monthly Medicaid news recap to help you stay informed. The monthly recap concentrates on developments, research, and legislation that relates to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a...
30 Dec STATES CAN START MEDICAID ELIGIBILITY REDETERMINATIONS APRIL 1, 2023
Over the last three years, the Coronavirus public health emergency was extended a number of times. The PHE and the Families First Coronavirus Response Act modified Medicaid eligibility, and consequently, Medicaid enrollment increased dramatically throughout the pandemic. Between February 2020 and July 2022, 82 million...
08 Nov OCTOBER MEDICAID NEWS RECAP
Syrtis Solutions delivers a monthly Medicaid news summary to help you stay up-to-date. The monthly summary highlights developments, analysis, and legislation that pertains to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a list...
06 Oct SEPTEMBER MEDICAID NEWS ROUNDUP
Syrtis Solutions publishes a monthly Medicaid news recap to help you stay up-to-date. The monthly roundup highlights developments, research, and legislation that pertains to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Below is a list...
30 Sep NYRx PHARMACY BENEFIT CARVE OUT
Changes in how pharmacy benefits are provided under New York's Medicaid program are coming. Earlier this year, the state reported that to decrease prescription drug costs, it would carve out its Medicaid pharmacy benefits and transition to a fee for service delivery model. On April...
13 Sep AUGUST MEDICAID NEWS ROUNDUP
Syrtis Solutions delivers a monthly Medicaid news summary to help you stay up-to-date. The monthly summary highlights developments, research, and legislation that pertains to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Here is a recap of August's noteworthy...