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Consortium pitches $685,000 pilot to analyze Medicaid claims for fraud, waste and abuse
Summary
A representative of the American Research and Policy Institute requested $685,000 as a one-year pilot (90/10 match) to deploy analytics that identify potential Medicaid fraud, waste and abuse and produce provider-level breakdowns that the Department of Community Health could use for program integrity and rate-setting.
Ray Williams presented on behalf of the American Research and Policy Institute (ARPI), describing a proposal to pilot provider-level analytics to detect potential Medicaid fraud, waste and abuse.
What was proposed: Williams said ARPI is a consortium of health economists,…
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