The healthcare system is really a collection of processes and financial intermediaries driven by billings generated by every single doctor, hospital and pharmacy in the US. It is this system that exacerbates the fraud problem. Even as Pres Obama and Congress continue to debate health reform, fraud dollars lost within Medicare and Medicaid vastly outweigh the losses administered by commercial insurers. The key to solving these problems and unlocking the $250 billion in easy money lies in making the data transparent. As news about catching the bad guys will travel fast, CEOs and CFOs would soon see the financial value created by in-depth analysis of medical claims data.
The "F" Word in Healthcare Christian Kryder Chief Executive; Sep/Oct 2009; 242; Docstoc pg. 23 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission.
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