Medicaid integrity is crucial for administrators and leaders at state agencies that manage one of the nation’s largest and most vital safety-net programs. Every day, their teams process eligibility determinations, adjudicate claims, and deliver care to millions of people. With

Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly roundup focuses on developments, research, and legislation that relate to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below is a

As states begin planning their fiscal year (FY) 2027 budgets, many Medicaid programs are preparing for tougher financial conditions. State revenue growth has slowed while healthcare spending pressures continue, and recent federal policy changes under the 2025 budget reconciliation law

Introduction Since its passage in 1965, Medicaid has provided vital health insurance coverage to some of the most vulnerable populations in America. In order to remain solvent, Medicaid relies on its program administrators and contractors to be fiscally responsible. For

Syrtis Solutions publishes an annual Medicaid review to help you stay informed. The annual recap focuses on developments, research, and legislation that relate to Medicaid integrity, cost avoidance, coordination of benefits, third-party liability, improper payments, fraud, waste, and abuse. Here

Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly roundup focuses on developments, research, and legislation that relate to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below is a

Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly roundup focuses on developments, research, and legislation that relate to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below is a

In 2024, Medicaid improper payments surged to $31.1 billion, placing enormous pressure on state budgets and threatening the program's stability. A disproportionate share of these losses came from claims Medicaid should never have paid in the first place—claims that were

Syrtis Solutions distributes a monthly Medicaid news summary to help you stay up-to-date. The monthly roundup focuses on developments, research, and legislation that relate to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below is a

Medicaid COB has never been more critical as states confront mounting fiscal pressure and federal funding cuts. Many states have already begun reducing their Medicaid budgets — even before the most significant federal reductions take effect. According to the Medicare