The big three of fraud enforcement: Data, federal partnerships, and prevention

Data-driven analysis, public-private partnerships and the shift from the old "pay-and-chase" approach were three key takeaways from the recent American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues, according to a post by the Mintz Levin blog Health Law & Policy Matters. Data-driven analysis of healthcare claims data and Medicare billing data has led to more enforcement from government regulators and litigation for healthcare companies. Partnerships between government entities and private companies, such as the Healthcare Fraud Prevention Partnerships, have given the government a larger breadth of data in order to identify trends, which has led investigators from the "pay and chase" model and toward a preventive approach. Article

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