As of March 18, Medicaid Managed Care Organizations (MCOs) are preparing for substantial challenges tied to a proposed $880 billion reduction in federal Medicaid spending over the next ten years. This dramatic shift could force structural changes in eligibility, funding models, and care delivery, prompting...
Syrtis Solutions sends out a monthly Medicaid news recap to help you stay informed. The monthly recap highlights developments, research, and legislation that relates to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Below is a...
Medicaid has become an integral safety net program that offers access to health care for millions of Americans. Payment for this health care is either delegated to Medicaid or other third party insurance coverage. In 2012, 7.6 million people on Medicaid had other private insurance...