The Medicaid Managed Care Final Rule, CMS-2408-F, was finalized this November. The new rule implements proposals from the Notice of Proposed Rule Making from last year. Provisions from the rule will begin taking effect as early as December 14, 2020. According to Medicaid enrollment data from 2018, 66...
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 summary of last...
Data from the federal government indicates that more than 4 million people enrolled in the Medicaid program this spring due to the pandemic driven economic downturn. The 5.7% spike came after the surge in unemployment and the loss of corresponding employer-sponsored healthcare coverage. In response...
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...
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...
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...
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...
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...
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...
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...