Improper claims payments are costing Medicaid billions of dollars every year. A frequent misconception is that these payments come from fraud and abuse when the bulk of them actually originate from mundane issues such as eligibility errors and antiquated data systems. Don't miss out on...
Syrtis Solutions delivers a monthly Medicaid news recap to help you stay informed. The monthly summary highlights developments, analysis, and legislation that pertains to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a summary...
In 2018, the Trump Administration and GOP made multiple attempts to reverse the ACA and establish federal spending caps on the Medicaid program to lower costs. These efforts were unsuccessful; nevertheless, several states expanded their Medicaid programs and introduced work requirements during this time. According to...
Syrtis Solutions publishes a monthly Medicaid news summary to help you stay up-to-date. The monthly summary concentrates 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 summary...
Syrtis Solutions delivers a monthly Medicaid news summary to help you stay informed. The monthly summary focuses on developments, research, and legislation that pertains to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Below is a summary...
The Government Accountability Office just recently released its updated High-Risk List. The update is part of the biennial High-Risk Series started in 1990 that identifies government operations susceptible to fraud, waste, abuse, and mismanagement. The recent report marks the twentieth consecutive year that Medicaid has...
Syrtis Solutions issues a monthly Medicaid news recap to help you stay up-to-date. The monthly summary focuses on developments, research, and legislation that pertains to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a list...
Syrtis Solutions distributes a monthly Medicaid news roundup to help you stay informed. The monthly recap highlights developments, research, 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 of...
To reign in prescription drug costs and increase Medicaid program transparency, New York's Governor, Kathy Hochul, and the New York Medicaid Redesign Team announced earlier this year that the state would carve-out the pharmacy benefit from the Medicaid program. After being delayed for two years,...
In March 2020, under former Governor Cuomo's administration, the New York Medicaid Redesign Team advised that the state carve-out pharmacy benefits from the Medicaid program due to concerns pertaining to pharmacy spend and provider transparency. The reform fundamentally transitions prescription drug reimbursement from a managed...