Millions of people stand to enroll in health plans via state-based insurance exchanges as the federal health reform effort rolls out. But unless states and payers take precautionary measures, those exchanges could prove to be a goldmine for scammers and others seeking to defraud the health care system.

At HIMSS13 in New Orleans, Michael L. Nelson, vice president, strategy and business development at national credit bureau Equifax, described how the health care industry, already teeming with fraudulent activity, faces a tidal wave of even more unless steps are taken now. “Why is there so much fraud?” he asked. “It’s easy money.”

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