As of March 18, Medicaid Managed Care Organizations (MCOs) are staring down one of the largest financial challenges in their history. A federal proposal to slash $880 billion from Medicaid over the next decade is setting off alarms across the healthcare sector. The potential fallout?...
With federal budget cuts threatening Medicaid funding, states are grappling with how to ensure millions of low-income residents continue to receive essential healthcare. Rising medical costs, increasing enrollment, and shifting policies have made it imperative for states to adopt new strategies to sustain their Medicaid...
Stay informed with Syrtis Solutions' monthly Medicaid news summary! Each month, we provide key updates on Medicaid program integrity, cost avoidance, coordination of benefits, and efforts to curb fraud, waste, and abuse. Our roundup delivers the latest policy changes, legislative developments, and research insights that...
With the latest House budget proposal threatening to cut billions from Medicaid, state programs and Managed Care Organizations (MCOs) face an urgent challenge. To sustain healthcare services and maximize every dollar, Medicaid agencies must take immediate action to reduce financial waste. One of the most...
Introduction Recent budget proposals in Congress have put Medicaid funding at risk. If these cuts happen, states may face difficult choices, including reducing benefits, tightening eligibility rules, and dealing with financial strain on healthcare providers. Since Medicaid supports millions of low-income individuals, families, and people with...
Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly recap highlights 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 of...
Syrtis Solutions distributes an annual Medicaid news recap to help you stay up-to-date. The monthly recap 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 list...
Syrtis Solutions distributes a monthly Medicaid news summary to help you stay informed. The monthly recap 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. Below is a summary...
A recent audit by the Washington State Auditor's Office revealed that Washington state is overspending on Medicaid premiums-- an estimated $8.6 million per year-- because of beneficiaries being enrolled in Medicaid in multiple states. The audit concentrated on seven states but indicated that the financial...
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 complicated reality that exposes systemic flaws in how improper payments are calculated and managed. These numbers, far from representing genuine progress,...