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?...
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...
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 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...