212: The One About Medicaid Program Integrity

Amanda D'Amico, Senior Director of Market Planning for Fraud and Eligibility Solutions at LexisNexis Risk Solutions joins the show to discuss why operational execution—not just understanding policy—will determine success ss Medicaid agencies prepare for the implementation of H.R. 1. We dive into how agencies can balance program integrity with continuity of coverage by modernizing outreach, improving data quality, and leveraging technology to better engage beneficiaries. We also explore the importance of clear communication, efficient workflows, and keeping the human impact at the center of compliance efforts to ensure eligible individuals continue receiving the critical services they need.