medicaid Tag

Syrtis Solutions

17 Apr THE IMPACT OF MEDI-CAL’S PHARMACY CARVE OUT

At the beginning of the year, California’s governor signed an executive order directing DHCS to adopt a fee-for-service model for Medi-Cal. Under the order, California would consolidate its purchasing power and leverage the state’s population size to achieve lower drug costs by purchasing in...

Read More
Prescription Drug Costs Medicaid Syrtis Solutions Improper Payments TPL

10 Apr REDUCING MEDICAID’S PRESCRIPTION DRUG COSTS

Since state Medicaid programs are responsible for the healthcare of several populations, skyrocketing prescription drug costs have become a major budgetary concern. Currently, health care spending is dominating many of their budgets and on a per capita basis, inflation-adjusted retail prescription drug spending has increased...

Read More
Medicaid improper payments

29 Mar Senators Question Oversight Of Medicaid Improper Payments

Medicaid has been designated a high-risk program by the GAO since 2003 due to its size, growth, diversity and oversight challenges regarding improper payments, appropriate use of program dollars, and data. In fiscal year 2018, improper payments represented about 9.8% of the programs total spending...

Read More
Medicaid Medicare Budget A Budget For A Better America

22 Mar How Trump’s 2020 Budget Proposal Affects Medicaid

The Trump administration released its 2020 budget proposal on Monday and it gives some insight into the president’s priorities. The budget includes $1.9 trillion in cost savings for Medicaid and other safety net programs. According to the administration, A Budget For A Better...

Read More
cost avoidance prescription drug costs Syrtis Solutions

28 Feb STATES TAKE ACTION TO REDUCE MEDICAID PRESCRIPTION DRUG COSTS

In 2018’s legislative session, 45 laws were passed by 28 states to address the problem of prescription drug costs. Apart from these legislative efforts, administrative actions are also being taken to improve the management of Medicaid pharmacy benefits spending. Ohio, West Virginia, and California are...

Read More
CMS

23 Jan MEDICAID IN 2019

Last year, there were multiple attempts to reform the Medicaid program. While efforts at the federal level met resistance, multiple reform initiatives took place at the state level.  These measures included legislation, program expansion, demonstration waivers, eligibility restrictions, and work requirements. Some of these changes...

Read More

17 Jan EXECUTIVE ORDER: MEDI-CAL TO NEGOTIATE DRUG PRICES

California’s newly elected governor; Gavin Newsom (D) has recently made a legislative step to address skyrocketing drug prices. Shortly after he was sworn in last week, Newsom signed an executive order making the state responsible for negotiating drug prices directly with pharmaceutical companies. In addition,...

Read More
ACA Supreme Court Texas Medicaid Syrtis Solutions

20 Dec TEXAS JUDGE RULES THE ACA UNCONSTITUTIONAL

The future of the Affordable Care Act (ACA) is in jeopardy after a federal district court judge ruled the law unconstitutional. On Friday, Judge Reed C. O’Connor (TX) sided with twenty Republican legislators and ruled the law unconstitutional after congress passed the December 2017 tax bill. Last years...

Read More