Winning with analytics: Fighting fraud perpetrated by predatory pharmacies
In this webinar you’ll hear from SCAN Health Plan, a not-for-profit Medicare Advantage health plan in Southern California for Seniors. Learn how its Special Investigations Unit (SIU) leveraged analytics to identify predatory pharmacies engaged in a compound medication scam, fraudulently dispensing medication to seniors who didn't need it. Utilizing network analysis, SCAN Health Plan analyzed claims data to proactively identify these predatory pharmacies preying on their patients and stop payments to them, contributing to cost avoidance of over $1.5 million in the very first year.
This webinar is designed for healthcare payers and providers interested in hearing proven analytic best practices for fraud, waste and abuse detection, and prevention. Learn first-hand from SCAN Health Plan's SIU:
- How to capture, blend, and prep data from disparate data sources
- How to analyze claims and prescription data to proactively identify fraud, waste, and abuse
- How to schedule analytic workflows to run automatically
- How SCAN used analytics to collaborate and build partnerships throughout the organization