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...
Medicaid COB has quickly become a focal point around program integrity and cost containment for plans. State Medicaid agencies are under mounting fiscal pressure, with many already cutting provider reimbursements and optional services to stay solvent. The Medicare Rights Center warns that these early reductions...
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 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...
Improper Payments Remain a Systemic Issue In its August 2025 publication, GAO-25-108067, the Government Accountability Office (GAO) identified 32 unresolved priority recommendations for the Department of the Treasury. A key focus of the report is the ongoing challenge of fraud and improper payments that weaken federal...