Medicaid remains one of the most critical public programs in the United States, delivering healthcare coverage to millions of individuals across diverse and often vulnerable populations. As its role has expanded, so has the responsibility to manage its resources with precision. However, fraud, abuse, and...
Syrtis Solutions shares a monthly Medicaid news roundup that highlights major policy, research, and regulatory developments. The update focuses on issues related to program integrity, coordination of benefits, cost avoidance, and the prevention of improper payments, fraud, waste, and abuse. Below is a summary of...
Stay informed with Syrtis Solutions' monthly Medicaid news summary! Each month, we bring you the latest updates on Medicaid program integrity, cost avoidance, coordination of benefits, and efforts to combat fraud, waste, and abuse. Our roundup highlights key policy changes, research insights, and legislative developments...
As states begin outlining fiscal year (FY) 2027 Medicaid budgets, many programs are confronting a tighter and less predictable financial environment. State revenue growth has cooled, healthcare costs remain elevated, and federal policy changes enacted through the 2025 budget reconciliation law have reshaped how funding...
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...
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 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...
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...