Medicaid payment integrity remains a significant challenge as federal oversight continues to focus on reducing improper payments and improving payment accuracy. An August 2026 report from the U.S. Department of Health and Human Services Office of Inspector General (HHS OIG)

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