The Financial Impact on Medicaid Programs

Each year, states lose millions due to inaccurate or unauthorized Medicaid payments.  Common scenarios include:

• Residents moving out-of-state without updating their records
• Deceased individuals remaining on enrollment rosters
• Duplicate enrollments across states or within the same program

These cases can lead to capitation fees being paid for services no longer needed — or even possible — to deliver.

Proven Solutions to Eliminate Improper Payments

Discover how LexisNexis® Risk Solutions supports Medicaid programs through:

• Real-time monitoring for life change events
• Preventing duplicate enrollment
• Efficient fraud, waste, and abuse prevention
• Savings you can count on

Our tools can help agencies move from “pay and chase” models to proactive prevention, generating substantial savings and improved program integrity.

Download the Full Article Now

Get the complete breakdown of how your state can reduce improper payments, streamline processes, and increase efficiency. With decades of experience and billions of data records, we can be your partner in tackling these challenges effectively.