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,...
Syrtis Solutions publishes a monthly Medicaid news recap to help you stay informed. The monthly summary highlights developments, research, 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 of...
Improper payments and fraud remain chronic and costly difficulties 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, administrative, or...
Syrtis Solutions distributes a monthly Medicaid news roundup to help you stay up-to-date. The monthly summary 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, a leading provider of real-time Other Health Insurance (OHI) coverage information for payers of last resort, recently accomplished a notable milestone by being designated a preferred vendor for the Association for Community Affiliated Plans (ACAP). This achievement is a reflection of Syrtis Solutions'...
Syrtis Solutions distributes a monthly Medicaid news recap to help you stay informed. The monthly recap concentrates on developments, research, 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...
Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly recap 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 list...
Throughout the pandemic, Medicaid enrollment surged due to federal measures that required states to maintain coverage for individuals, regardless of whether they gained other insurance. This regulation, carried out in March 2020, lasted three years and added over 23.3 million people to Medicaid, pushing the...
Over the last three decades, Medi-Cal, California's Medicaid program, has undergone considerable changes and expansion. By 2016, the program provided coverage to more than one in three Californians, and as of January 2024, eligibility has been expanded to include all residents with incomes below certain...
Syrtis Solutions issues a monthly Medicaid news roundup to help you stay informed. The monthly roundup 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. Below is a...