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...
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...
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...
Introduction Recent budget proposals in Congress have put Medicaid at risk for significant funding cuts. If these reductions move forward, states will face major challenges, such as fewer benefits, stricter eligibility rules, and financial strain on healthcare providers. Since Medicaid supports millions of low-income individuals, families,...
Syrtis Solutions distributes a monthly Medicaid news roundup to help you stay up-to-date. The monthly recap concentrates on developments, analysis, 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...
Syrtis Solutions issues a monthly Medicaid news summary to help you stay informed. The monthly roundup focuses on developments, analysis, and legislation that relates to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Below is a summary...
The reported government-wide improper payment rate of 3.97% in 2024 represents the lowest level in over a decade. But below the surface lies a complex reality that exposes systemic flaws in how improper payments are measured and controlled. These numbers, far from representing legitimate progress,...
Syrtis Solutions sends out a monthly Medicaid news summary to help you stay informed. The monthly recap focuses on developments, analysis, and legislation that pertains to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a...