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The cloud is a Medicaid agency’s strongest new ally against healthcare fraud
Cloud cannot solve healthcare fraud, waste and abuse. But it can provide a flexible infrastructure ...
How to improve program integrity for Medicaid managed care
State program integrity teams face many challenges when overseeing Medicaid managed care. But if they get data, start small and share findings, they can reduce fraud, waste and abuse.
Policies for the digital era
As health and human services undergo a digital transformation, policymaking must also modernize. Clear, current and discoverable policies can help today’s program integrity investigators fight fraud, waste, and abuse
These patients are hard to treat
The surprising lack of results from a recent New England Journal of Medicine study offers a cautionary tale about how difficult it is to improve patients’ care and reduce costs.