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Perspective on Cost Containment: Fraud and Improper Payments

About this paper

With an increased emphasis on cost containment and regulatory scrutiny leading up to reform, the need for health plans to shift from defensive to proactive engagement regarding fraud and improper payments is critical. SAS and Stonegate Advisors LLC interviewed executives at 13 of the largest U.S. health plans to gain insights into the current reality of fraud and improper payments and to review strategies and tactics that can be put in place in anticipation of reform. This paper explains the major trends uncovered in this research that signify a fundamental shift in health plans' approach to improper payments.

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SAS é o líder de mercado em Analytics. Por meio de soluções analíticas inovadoras, voltadas para a inteligência do negócio e gerenciamento de dados, a companhia ajuda seus clientes em mais de 75.000 localidades a tomarem decisões de forma rápida e assertiva. Desde 1976, o SAS fornece aos clientes ao redor do mundo THE POWER TO KNOW® (O Poder do Conhecimento).

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