Syrtis Solutions provides a monthly Medicaid news summary to keep healthcare leaders informed of important industry developments. Each edition covers research, legislation, and policy updates related to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, and fraud, waste, and abuse. Below is a...
Cost avoidance is gaining importance as Medicaid health plans face growing pressure to find savings and make the most of limited program dollars. With budgets tightening and federal oversight evolving, plans are looking for financial opportunities that do not require benefit reductions, reimbursement changes, or...
Syrtis Solutions delivers a monthly Medicaid news summary focused on issues that matter to Medicaid programs and health plans. The roundup covers developments in program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse, along with relevant research and legislation. Below is...
Syrtis Solutions monitors Medicaid news and developments throughout the month to provide healthcare leaders with a concise monthly recap. Coverage includes program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse, as well as relevant research and legislative updates. Below are highlights...
Syrtis Solutions provides a monthly update on Medicaid news to help healthcare leaders monitor the evolving policy and regulatory environment. The summary highlights developments related to program integrity, coordination of benefits, cost avoidance, and the prevention of improper payments, fraud, waste, and abuse. Below is...
Automated algorithmic analysis and insurance discovery engines (AAAIDE) are becoming cornerstones of modern Medicaid operations. By identifying liable third-party coverage at the point of claim adjudication, these technologies reduce improper payments, strengthen payment accuracy, and improve coordination of benefits. This priority is now reflected in state...
Our monthly Medicaid news roundup provides a concise overview of policy developments, research, and legislative updates affecting Medicaid programs. Topics include program integrity, cost avoidance opportunities, coordination of benefits, and initiatives aimed at reducing improper payments and fraud. Below is a recap of last month’s...
Drug pricing reform is a common Medicaid cost-containment strategy. Policymakers continue exploring expanded rebates, alternative purchasing models, and other approaches designed to reduce pharmacy spending and ease pressure on state budgets. Lower drug prices can generate meaningful savings. However, they address only part of Medicaid's financial...
Syrtis Solutions distributes a monthly Medicaid news digest designed to keep policymakers and healthcare leaders informed. The summary highlights key developments in Medicaid program integrity, coordination of benefits, cost avoidance, and efforts to prevent improper payments, fraud, waste, and abuse. Below is a summary of...
Our monthly Medicaid news roundup provides a concise overview of policy developments, research, and legislative updates affecting Medicaid programs. Topics include program integrity, cost avoidance opportunities, coordination of benefits, and initiatives aimed at reducing improper payments and fraud. Below is a recap of last month’s...