During the pandemic, Medicaid enrollment surged due to federal measures that required states to maintain coverage for individuals, even if they gained other insurance. This policy, implemented in March 2020, lasted three years and added over 23.3 million people to

Over the past three decades, Medi-Cal, California’s Medicaid program, has undergone significant changes and expansion. By 2016, the program provided coverage to more than one in three Californians, and as of January 2024, eligibility has been expanded to include all

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 relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below

Proposition 35 is a proposed ballot measure in California that seeks to impose a permanent tax on managed care organizations (MCOs) that provide healthcare services to vulnerable populations. The ballot also outlines specific ways the tax revenue must be used.

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 relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below

Payment integrity programs are designed to ensure accurate claims processing, adherence to contractual rates, and compliance with payment rules. These efforts are vital for maintaining the financial stability of healthcare systems and ensuring that patients receive proper care. However, they

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 relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below

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 relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below

America's most vulnerable populations rely on Medicaid and Medicare for essential healthcare services. Unfortunately, these programs lose billions of dollars annually due to improper payments. Recently, the Subcommittee on Oversight and Investigations delved into this pressing issue in a pivotal

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 relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below