Syrtis Solutions publishes a monthly Medicaid news summary to help you stay informed. The monthly recap concentrates on 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...
Since its passage in 1965, the Medicaid program has grown to become the single largest payer for health care in the United States, costing $671.2 billion in 2020. Because of surges in enrollment from the pandemic and the present administration's priorities, spending is only projected...
Over the last 56 years, Medicaid has helped deliver health services to the most vulnerable populations in the United States. As member enrollment surges, Medicaid TPL and fiscal accountability have been problematic. To resolve these challenges, numerous legislative efforts have taken place to curb fraud,...
The vast majority of Medicaid improper payments occur because of antiquated data systems that result in eligibility errors. As the Medicaid program has grown, finding primary commercial coverage, also referred to as Third Party Liability (TPL), has become increasingly more complicated and challenging. By law,...
Dependence on the Medicaid program has increased exponentially over time. Presently, it is the single largest insurer in the United States, and in FY 2019, it accounted for over half of all federal monies allocated to states. Regrettably, as the program has grown, waste has...
Medicaid currently fails at providing a system that efficiently and accurately saves and utilizes member data. As Medicaid is a joint state and federally run program, there are many issues with coordinating data platforms. Different states have their own unique data processing and storing, and...
Syrtis Solutions distributes a year end Medicaid summary to help you stay informed. The annual roundup concentrates on highlights, analysis, and legislation that relates to Medicaid integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Here is a summary...
Syrtis Solutions distributes a monthly Medicaid news recap to help you stay informed. The monthly recap concentrates on developments, research, 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...
Over the last three years, the Coronavirus public health emergency was extended a number of times. The PHE and the Families First Coronavirus Response Act modified Medicaid eligibility, and consequently, Medicaid enrollment increased dramatically throughout the pandemic. Between February 2020 and July 2022, 82 million...
Syrtis Solutions delivers a monthly Medicaid news summary to help you stay up-to-date. 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 list...