Join RelayHealth for a recorded Healthcare Finance News webinar, Accelerating Service-to-Payment Velocity. With all of the changes happening in healthcare today, some things do remain the same. Your two primary sources of cash are still patients and third-party payers. While patient financial responsibility is rapidly increasing, a large percentage of revenue still flows in via governmental payers and commercial health plans.
Medicaid fraud is prevalent, costly and difficult to prevent. With a combination of more integrated data and advanced analytics, state agencies can turn the tables on fraudsters. They can accelerate the transition from detection to prevention, as new forms of fraud are recognized faster and fewer improper payments go out the door.
This IIA Discussion Summary explores the challenges and opportunities in preventing Medicaid fraud in an interview with SAS’ Ellen Joyner-Roberson, Principal Marketing Manager for Fraud and Security Intelligence, and Victor Sterling, Principal Solutions Architect.
Published By: Datastax
Published Date: Dec 27, 2018
The world is moving at an increasingly accelerated pace. In this new Right-Now Economy, the rampant spread of
payments fraud remains one of the biggest challenges for e-commerce and financial institutions. The worldwide
e-commerce market was valued at $2.3 trillion for 2017, and 2018 should see even more growth, and along with it,
more fraud. In the US alone, the cost of e-commerce fraud rose from $10 billion in 2014 to roughly $19 billion in 2018.
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