Insights

Research, analysis, explainers, and deeper examination of Medicaid eligibility, PERM/MEQC, program integrity, operational risk, and federal-state accountability.

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Self-Attestation Is Not the Risk. Uncontrolled Self-Attestation Is.

Insights

Aug 26, 2026

Self-Attestation Is Not the Risk. Uncontrolled Self-Attestation Is.

Why Medicaid leaders should distinguish access-friendly policy from weak evidence, inconsistent controls, and downstream fiscal exposure.

Ralph Choate

Insights

Aug 25, 2026

PERM Is Not Just an Audit

Why Medicaid leaders should treat payment error risk as an operational discipline—not a periodic compliance exercise.

Ralph Choate

Insights

Self-Attestation Is Not the Risk. Uncontrolled Self-Attestation Is.

PERM Is Not Just an Audit

PERM Insights & Perspectives