PERM Insights & Perspectives
Independent research and practical analysis of Medicaid eligibility accuracy, operational accountability, and fiscal exposure.
Start here: Medicaid Payment Error Rate Measurement (PERM)
Education, not Advocacy. Three current resources, free to read without a website subscription.
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.