Fighting the Rising Tide of Medicaid Fraud

Medicaid fraud has jumped dramatically in the era of COVID, as increasing complexity of delivery and payment models, along with increased funding, has created openings for fraudsters, including organized crime. States must respond by accelerating their deployment of big data, predictive analytics and integrated technology platforms to manage Medicaid programs and prevent fraud. What’s at stake? Not just cost control and taxpayer money, but health outcomes and equity for all recipients. To explore these challenges and opportunities, IIA spoke with Tom Wriggins and John Maynard, both principal industry advisors at SAS.