The Centers for Medicare & Medicaid Services (CMS) recently revealed that millions of individuals were dually enrolled in taxpayer-funded health programs in 2024, raising new concerns about overlapping coverage and underscoring the urgent need for improved data and technology to
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 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 relates to Medicaid program integrity, cost avoidance, coordination of benefits, improper payments, fraud, waste, and abuse. Below is a
With the passing of the Trump administration’s spending bill in the House, Medicaid is at the center of the healthcare policy conversation. The program now consumes roughly one-third of most state budgets, placing enormous strain on state finances. Medicaid expansion and pandemic-era
As of March 18th, Medicaid Managed Care Organizations are confronting significant challenges due to proposed federal budget cuts totaling $880 billion over the next decade. These reductions threaten to reshape Medicaid funding, potentially leading to coverage losses and stricter eligibility
Last week, the Supreme Court announced that it would review the verdict from Rutledge v. PCMA, a case from Arkansas dealing with the state’s legal right to regulate reimbursements from pharmacy benefit managers (PBMs). Their ruling could significantly impact prescription
Government healthcare reforms along with reducing prescription drug prices have been at the top of President Donald Trump’s agenda. A feud between the top health officials at HHS is delaying the administration’s healthcare initiatives. Over the past year, tensions have
It has been six weeks since Virginia's General Assembly met for a special session to produce the state's budget for FY 2019 and decide the fate of Medicaid expansion. On Tuesday, the Finance Committee met but Virginia Senate Republicans delayed
Last year the GOP and Trump Administration made numerous attempts to reform Medicaid by trying to repeal the Affordable Care Act (ACA) and impose federal spending caps for the Medicaid program. While these efforts were unsuccessful, the future of the
Over the past year, the Trump administration and the GOP had a strong push to repeal the ACA along with reforming Medicaid. With the New Year underway, it is clear that the uncertainty in Medicaid's future is a cause for
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