Identity Analytics in the Fight Against Waste, Fraud and Abuse
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The Role of Identity Analytics in the Fight Against Waste, Fraud and Abuse
Maggie O’Connell, Program Integrity Unit, Arkansas Department of Human Services
Clint Fuhrman, Snr Director, Government Health Programs, LexisNexis
Saratu Grace Ghartey, Assistant Deputy Commissioner, NYC Human Resources Administration, Office of Inspector General
In these tough economic times, citizens are relying more than ever on health and human services programs provided or administered by states. At the same time, state health and human services programs – like most programs across state government – are being asked to do more with less and better manage their existing resources. By preventing improper payments – overpayments, underpayments, inadequately documented payments and fraud – these health and human services programs help to ensure that benefits go to those in need while saving taxpayer dollars. Although improper payments are attributable to many factors, government officials say the problem often stems from administrative errors or inadequate documentation and verification of recipient information before starting the eligibility determination process.
This panel will explore the role of Identity Analytics in helping government agencies understand who they are dealing with, so that the right benefits and services go to the right people.
We will explore the following topics:
- Getting to the heart of new screening and enrollment requirements
- Understanding the risk associated with beneficiaries and providers in or attempting to enter your program
- Understanding the importance of automation and technology integration as anchors for effective program integrity