Program Integrity: Preventing Health Care Fraud and Abuse

Headlines regularly call attention to pockets of fraudulent activity in the health care arena – scams that amount to millions and potentially billions of dollars. The stories typically focus on catching the crooks but not so much on efforts to prevent fraud, waste and abuse in health care programs. Both types of efforts are important. With continued concerns about rising health care costs and the current focus on deficit reduction, how much money can be saved and put to better use by reducing waste, abuse and outright fraud? To address these questions and more, the Alliance for Health Reform and the Centene Corporation sponsored a March 5 briefing focusing not so much on the criminal aspect of the problem, but rather on how to coordinate the efforts of Medicaid, Medicare, the private sector and others to prevent and combat the waste, fraud and abuse.

For more information and access to the presentation slides, please visit the Alliance’s event page.

Full Video

Speakers:

The panel was co-moderated by Ed Howard of the Alliance for Health Reform and Glen Schuster of the Centene Corporation.

Ed HowardWelcome

Glen SchusterWelcome

Panelists:

Peter Budetti, CMSVideo

Jim Frogue, FrogueClarkVideo

Doug Porter, Washington state Medicaid directorVideo

Bill Hazel, Virginia Department of Health and Human ResourcesVideo

Glen Schuster, Centene CoporationVideo

Q&AVideo