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How Ideas from Private Industry Help Combat Medicare Fraud, Waste and Abuse
Marco Huesch and Robert Szczerba in Health Affairs Link to more items from this source
[Opinion]
May 23, 2013

"While the financial services industry has had prolonged success combating fraudulent transactions with technology-based solutions, it is important to realize that the rate of improper payments was perhaps at most 0.1-0.2 percent. The estimated level of improper payments in Medicare is 50-100 times higher. This level of endemic fraud, waste, and abuse is best addressed through incentives for all stakeholders, implementation of multiple, differentiated and decentralized solutions, and establishment of stretch goals for combating improper payments."  MORE >>

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