The nation's most vulnerable populations rely upon Medicaid and Medicare for essential healthcare services. Regrettably, these programs lose billions of dollars each year as a result of improper payments. Recently, the Subcommittee on Oversight and Investigations explored this pressing issue in an essential hearing titled...
Syrtis Solutions publishes a monthly Medicaid news summary to help you stay up-to-date. The monthly roundup concentrates 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...
A new audit by the GAO indicates that the government suffered a significant loss of $236 billion in 2023 as a result of improper payments. Medicaid and Medicare alone accounted for 43% of these payments, with Medicaid's improper payments reaching $50.3 billion. These findings highlight...
Syrtis Solutions issues a monthly Medicaid news recap to help you stay up-to-date. 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. Here is a summary...
Medicaid enrollment is being significantly affected due to the close of the continuous enrollment provision authorized by the Families First Coronavirus Response Act. Since April, millions of program beneficiaries have been disenrolled from the safety net program. At the same time, millions of others have...
Syrtis Solutions distributes a monthly Medicaid news roundup to help you stay up-to-date. The monthly recap highlights 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 summary of...
Syrtis Solutions delivers a monthly Medicaid news roundup to help you stay up-to-date. The monthly summary highlights developments, research, and legislation that pertains to Medicaid program integrity, cost avoidance, coordination of benefits, third party liability, improper payments, fraud, waste, and abuse. Below is a list...
Medicaid improper payments have caused the safety net program to be on the Government Accountability Office's High-Risk List since 2003. The GAO's list identifies government programs that involve considerable resources and offer vital services to the public that are prone to fraud, waste, abuse, and...
Third-party liability, also known as TPL, is the legal requirement of third parties to pay part or all of the costs for medical assistance under a Medicaid state plan. In other words, if a beneficiary has other forms of health insurance, those primary payers are...
Syrtis Solutions publishes a monthly Medicaid news roundup to help you stay up-to-date. The monthly roundup highlights 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 summary...