Command Center Speeds Up Anti-Fraud Efforts

By Dr. Peter Budetti, CMS Deputy Administrator and Director of the Center for Program Integrity

Today, I had the privilege of joining HHS Secretary Kathleen Sebelius and CMS Acting Administrator Marilyn Tavenner to open the new CMS Program Integrity Command Center that is speeding up the process of identifying fraud, and stopping criminals from defrauding Medicare and Medicaid.

The new Command Center is bringing together Medicare and Medicaid officials, as well as law enforcement partners from the HHS Office of the Inspector General, the Federal Bureau of Investigation, and CMS’s anti-fraud investigators. The Command Center will gather experts from all different areas – clinicians, data analysts, fraud investigators, and policy experts – into the same room to build and improve our sophisticated new predictive analytics that spot fraud, and to then move quickly on a lead, once potential fraud is identified. The technology also allows us to connect with field offices to track down leads in real time.

The result is that investigations that used to take days and weeks can now be done in a matter of hours. And this new technology can help detect and prevent potential problems and payments. That can mean millions of taxpayer dollars staying out of the hands of fraudsters.

This is one more part of the Obama Administration’s effort to fight fraud and waste in our health care system. The health reform law gives law enforcement more tools to go after fraudsters, and establishes tougher sentences once we catch those criminals. We’re already seeing results – four years ago, the government recovered just over $1 billion in fraudulent payments; this year, it’s over $4 billion, a record number. We’ve had the largest health care fraud busts in history in 2012.

Below, view a preview of this exciting facility that’s helping us protect the Medicare and Medicaid programs:

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