The Problem: 17 Million New Medicaid Consumers
Changes to Medicaid eligibility will soon bring forth millions of new enrollees—many of whom will have pent-up demand for healthcare services. Medicaid expansion will also increase exposure to fraud, waste and abuse. We offer solutions that states and Medicaid health plans need to manage the critical and costly health needs of this complex population, and implement effective pre-payment fraud prevention strategies.
66% of Medicaid Beneficiaries Today Are Enrolled in Managed Care
$1.7 Billion in Recoveries Reported by the 50 State Medicaid Fraud Units in 2011