With federal budget cuts putting Medicaid funding at risk, states are working to ensure that healthcare services remain available for millions of Americans. Rising costs, expanding enrollment, and financial pressures are driving policymakers to find solutions that balance budget constraints with the need for accessible...
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...
Medicaid funding is at risk. A new budget proposal in Congress could slash billions from state programs, putting essential healthcare services in jeopardy. To keep Medicaid strong, state agencies and Managed Care Organizations (MCOs) must act now to eliminate wasteful spending and protect every dollar. One...
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...
A recent audit by the Washington State Auditor's Office uncovered that Washington state is overspending on Medicaid premiums-- an estimated $8.6 million each year-- as a result of plan members being enrolled in Medicaid in multiple states. The review concentrated on seven states but suggested...
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...
Improper payments and fraud continue to be persistent and costly hurdles for Medicaid and other government-funded programs. The GAO defines improper payments as payments that should not have been made or that were made in an incorrect amount (including overpayments and underpayments) under statutory, contractual,...