As Medicaid programs continue to grow in size, cost, and complexity, program integrity can no longer function as a standalone role—it must be built into the fabric of how programs operate daily.

Across the country, Medicaid leaders are navigating a convergence of pressures: rapid expansion of home- and community-based services (HCBS), increased regulatory scrutiny, and rising expectations to prevent fraud, waste, and abuse while preserving access and flexibility. For payers and state agencies alike, this raises a critical question: is the traditional, siloed approach to program integrity still sufficient? Increasingly, the answer is no.

For a deeper exploration of why Medicaid program integrity works best as a team effort, read the full article.

fiercehealthcare.com