State Medicaid programs are heading toward a fiscal wall. Nationwide, state leaders are grappling with severely strapped budgets, rising healthcare costs and shrinking revenues. To make matters worse, the federal government has begun pulling back match funding and aggressively deferring payments, holding back over $1 billion in federal Medicaid transfers to states while demanding stricter documentation. With federal dollars tightening, states are bracing for severe budget cuts in 2027.
As a physician-executive in Oregon, I have watched this fiscal pressure unfold.
In recent budget cycles, Oregon made a massive, commendable commitment to expand access, allocating $1.6 billion to behavioral health within the Oregon Health Authority. Major regional health plans stepped up to meet the surge, noting that public demand “blew the doors off” the funding system. Today, behavioral health…
CLICK HERE to read the FULL Popiel: Target Medicaid fraud to save budgets – Boston Herald article.
IT & DATA SECURITY (MITIGATING THE “INSIDER THREAT”)
As seen in the TD Bank case, an employee with too much “access” can sell your customer data to syndicates.
- Principle of Least Privilege (PoLP): Employees should only have access to the specific folders and databases required for their current task.
- Access Revocation: Have a “Termination Checklist” that ensures all digital access (Email, VPN, Banking) is revoked within 60 minutes of an employee resigning or being dismissed.
- System Logs & Audit Trails: Enable “Read/Write Logging” on your server. If a customer’s data is leaked, you need to know exactly which login accessed that record and at what time.
- Encryption at Rest: Ensure that sensitive files (like your customer ID numbers or payroll spreadsheets) are encrypted so that if a staff member copies them to a USB, they cannot be read.