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. ...
As states begin planning for fiscal year (FY) 2027, Medicaid programs are entering a period of increasing financial constraint. Slower revenue growth, persistent healthcare cost inflation, and federal policy changes enacted through the 2025 budget reconciliation law are reshaping budget expectations. While enrollment growth has...
The Syrtis Solutions year-end Medicaid review captures the most important policy and industry changes of 2025. It focuses on research and legislation influencing integrity, cost avoidance, COB, and fraud prevention efforts. See the news here. ...
Stay in the know with Syrtis Solutions' monthly Medicaid news update! Each month, we deliver key insights on Medicaid program integrity, cost avoidance, coordination of benefits, and initiatives to prevent fraud, waste, and abuse. Our roundup covers important policy changes, legislative updates, and research findings...
Stay current with Syrtis Solutions' monthly Medicaid news digest! Each month, we provide a comprehensive update on Medicaid program integrity, cost avoidance, coordination of benefits, and efforts to reduce fraud, waste, and abuse. Our roundup highlights critical policy shifts, legislative developments, and research findings that...
In 2024, Medicaid improper payments climbed to an estimated $31.1 billion, putting immense strain on state budgets and calling the program’s long-term sustainability into question. A sizable portion of that figure is tied to a familiar but stubborn problem: Medicaid paying for claims that should...
Stay in the know with Syrtis Solutions' monthly Medicaid news update! Each month, we deliver key insights on Medicaid program integrity, cost avoidance, coordination of benefits, and initiatives to prevent fraud, waste, and abuse. Our roundup covers important policy changes, legislative updates, and research findings...