COVID-19 ANNOUNCEMENT

THE CHALLENGES OF EVERY TPL PROGRAM

13%

Unreported Coverage

About 13% of Medicaid recipients have unreported primary coverage.

17%

Dollars Recovered

On average less than 17% of the dollars billed to primary insurers are paid back to plans that paid claims in error.

56%

Wasteful Spending

56% of all improper payments in the Medicaid program due to eligibility errors.

WHAT SYRTIS SOLUTIONS RECOGNIZED

The industry needed a solution for the challenges of data quality and timeliness.

The Medicaid market needed a technology based solution that fits in with any TPL program.

The solution needed to provide Active coverage on Utilizing members (Not old – stale data).

The solution needed to provide Active coverage in Real-Time.

The solution needed to replace “Pay & Chase” with prospective “Cost Avoidance”.

 

 

 

 

 

BIGGER DATA, SMARTER DELIVERY

Claims are checked against an e-prescribing master patient index of over 280 million commercially covered lives. This is the largest and most complete database of active healthcare coverage in the nation. This means your Medicaid plan will obtain the best and latest eligibility responses when you need them – saving you the cost of recovery.

 

 

SYRTIS BLOG

Syrtis Solutions stays on the cutting edge of technology, trends and new legislation regarding healthcare cost containment. Keep up to date by visiting our blog!

  • July Medicaid Newsletter Syrtis Solutions
    JULY MEDICAID NEWS RECAP

    Syrtis Solutions distributes a Medicaid newsletter on a monthly basis to help you stay informed. The newsletter focuses on legislation, insights, comments, and industry developments relating to Medicaid integrity, cost avoidance, improper payments, fraud, waste, and abuse. Here is a summary of last month’s noteworthy......

  • Syrtis Solutions Medicaid Pharmacy Benefits ProTPL Cost Avoidance
    COVID’S IMPACT ON STATE BUDGETS AND MEDICAID

    The Coronavirus pandemic has had a devastating impact on the nation’s economy. As of June, the U.S. Bureau of Labor Statistics reported that the national unemployment rate reached 11.1 percent which translates to 17.8 million unemployed people. Many Americans that have lost employer sponsored health......

  • Medicaid Newsletter Syrtis Solutions Medicaid
    JUNE MEDICAID NEWS RECAP

    Syrtis Solution’s June 2020 Medicaid News Recap: A roundup of Medicaid news, legislation, and industry developments relating to Medicaid integrity, cost avoidance, improper payments, fraud, waste, and abuse. Oklahoma voters approve Medicaid expansion as coronavirus cases climb  Politico, July 1 Oklahoma voters on Tuesday narrowly approved......