Category Archives: by Jeremy Hill

Calculating the incalculable

We often hear from state program integrity units that the work they do goes unrecognized. Yet when quizzed on how they promote their efforts — which could result in millions of dollars in savings and recoveries over just one year — they often reveal a limited understanding of how to calculate these savings. After all, […]
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Getting behind the science: Program integrity, predictive analytics and best practices

Whether you pluck the petals from a daisy or gaze into a crystal ball, the traditional means of predicting and influencing future events has always carried a high degree of risk. Fortunately, when it comes to analyzing claims data, there are proven methodologies —predictive analytics — that states can use to help assess the validity […]
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