PERM Insights & Perspectives
Independent Medicaid insights on eligibility accuracy, evidence, and accountability.
Education. Readiness. Assurance.
Understand what is changing. Prepare stronger evidence. Demonstrate results.
Education
Practical insights into Medicaid policy, oversight, and operations.
Readiness
A clearer view of evidence gaps and priorities for action.
Assurance
Examining whether evidence supports decisions and corrective actions produce results.
Featured Work
97 or Better™—Before 2029
Make Medicaid eligibility accuracy a shared industry ambition.
A shared ambition for Medicaid eligibility accuracy: preserve evidence, correct errors earlier, verify improvement, and protect eligible people’s coverage.
Medicaid Changes: State & Territory Guide
Find official member information and H.R.1 updates for all 50 states, D.C. and five territories.
Start here: Medicaid Payment Error Rate Measurement (PERM)
Independent education. Practical resources. Free to read.
01 — Understand the basics
Medicaid Payment Error Rate Measurement: A Primer
What to know before your state legislators call. Updated October 9, 2026.
Read the primer (PDF)
02 — Apply the framework
PERM Eligibility Risk: From Audit Event to Operational Discipline
Connect eligibility decisions, evidence, and operational accountability. Updated October 8, 2026.
Read the framework (PDF)
03 — Test the fix
Corrective Action Effectiveness & Closure Checklist
A practical worksheet for testing results and documenting closure. October 1, 2026 edition.
Open the checklist (PDF)Explore Research
Research in progress, published studies, methods, and supporting references.
Explore ResearchResearch in Progress
Our first national study examines administrative architecture, pandemic legacy, and Medicaid eligibility payment error measurement. Findings and methods are in development; independent peer review has not yet been completed.
Learn about the studyContribute to the conversation
Have a source we should review, a correction to suggest, or local organizational insight to share? We welcome suggested sources, corrections, and practical perspective from the field.