medicaid Tag

August 2020 Medicaid News Recap Syrtis Solutions

04 Sep AUGUST MEDICAID NEWS RECAP

Syrtis Solutions distributes a Medicaid newsletter on a monthly basis to help you stay informed. The newsletter focuses on legislation, insights, comments, and industry developments relating to Medicaid integrity, cost avoidance, improper payments, fraud, waste, and abuse. Here is a summary of last month’s noteworthy...

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prescription drug costs pharmacy benefits carve out medicaid syrtis solutions

25 Aug PRESCRIPTION DRUG COSTS LEAD TO CARVE-OUT IN OHIO

In addition to the pandemic driven economic downturn and the consequential surge in Medicaid enrollment, rising prescription drug costs in the Medicaid program have caused tremendous fiscal pressure on state budgets over the years. In 2017, pharmaceuticals accounted for 5.1 percent of Medicaid benefit spending, and this expense...

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July Medicaid Newsletter Syrtis Solutions

31 Jul JULY MEDICAID NEWS RECAP

Syrtis Solutions distributes a Medicaid newsletter on a monthly basis to help you stay informed. The newsletter focuses on legislation, insights, comments, and industry developments relating to Medicaid integrity, cost avoidance, improper payments, fraud, waste, and abuse. Here is a summary of last month’s noteworthy...

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Syrtis Solutions Medicaid Pharmacy Benefits ProTPL Cost Avoidance

30 Jul COVID’S IMPACT ON STATE BUDGETS AND MEDICAID

The Coronavirus pandemic has had a devastating impact on the nation’s economy. As of June, the U.S. Bureau of Labor Statistics reported that the national unemployment rate reached 11.1 percent which translates to 17.8 million unemployed people. Many Americans that have lost employer sponsored health...

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Medicaid Newsletter Syrtis Solutions Medicaid

02 Jul JUNE MEDICAID NEWS RECAP

Syrtis Solution's June 2020 Medicaid News Recap: A roundup of Medicaid news, legislation, and industry developments relating to Medicaid integrity, cost avoidance, improper payments, fraud, waste, and abuse. Oklahoma voters approve Medicaid expansion as coronavirus cases climb  Politico, July 1 Oklahoma voters on Tuesday narrowly approved a ballot...

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Medicaid High Risk List GAO Syrtis Solutions Program Integrity Oversight Improper Payments Cost Avoidance

29 Jun MEDICAID ADMINISTRATIVE CHALLENGES

Medicaid has been designated as a high-risk government program by the GAO since 2003. The Medicaid program has struggled over the past seventeen years due to poor fiscal oversight and other administrative issues. These challenges will be exasperated as the program expands and enrollment surges...

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GAO Medicaid Improper Payments Fiscal Oversight Syrtis Solutions

24 Jun MEDICAID IMPROPER PAYMENTS IN 2019

Improper payments in the Medicaid universe are payments full or partial claims payments paid in error or payments made to the wrong party. Improper payments have been a major problem for Medicaid in recent years and have cost the program's valuable resources.  Across all government programs, improper payments have...

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Syrtis Solutions Monthly Medicaid News Recap

11 Jun MAY MEDICAID NEWS RECAP

    Syrtis Solution's May 2020 Medicaid News Recap: A roundup of Medicaid news, legislation, and industry developments relating to Medicaid integrity, cost avoidance, improper payments, fraud, waste, and abuse. New York and Ohio make moves toward allowing pharmacists to bill Medicaid for COVID-19 testing   APhA, May 30 The...

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Syrtis Solutions Monthly Medicaid News Recap

06 Apr MARCH MEDICAID NEWS RECAP

    Syrtis Solution's March 2020 Medicaid News Recap: A roundup of Medicaid news, legislation, and industry developments relating to Medicaid integrity, cost avoidance, improper payments, fraud, waste, and abuse. Medicare And Medicaid Administrator Addresses U.S. Health Care Response To COVID-19  npr, March 31NPR's Mary Louise Kelly speaks with...

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30 Mar SECTION 1135 WAIVERS AID STATES AMID COVID-19

After COVID-19 was declared a national emergency on March 13th, the Centers for Medicare and Medicaid Services (CMS) was able to waive stipulations in federally funded programs to help States respond to the pandemic. To date, CMS has approved Medicaid Section 1135 Waivers for 23...

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