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...
Medicaid is a lifeline for millions of Americans—and one of the most operationally complex programs in government. State agencies and managed care organizations oversee eligibility determinations, claims adjudication, provider enrollment, and benefit coordination on an enormous scale. As budget pressures mount and oversight intensifies, ensuring...
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...
Syrtis Solutions’ annual Medicaid summary reviews the developments that mattered most in 2025. This round-up examines evolving approaches to program integrity, improper payment reduction, coordination of benefits, and third-party liability. See the news. ...
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...
Stay in the know with Syrtis Solutions' monthly Medicaid news update! Each month, we deliver key insights on Medicaid program integrity, cost avoidance, coordination of benefits, and initiatives to prevent fraud, waste, and abuse. Our roundup covers important policy changes, legislative updates, and research findings...
Medicaid’s financial vulnerability became even more visible in 2024 as Medicaid improper payments climbed to $31.1 billion. These losses are not incidental—they represent systemic shortcomings that drain state budgets and weaken the program’s ability to meet growing demand. A major driver behind this escalating problem...
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...