Health Care Insight

HCI launches StopHealthCareFraud.com

HealthCare Insight® (HCI), a Verisk Health
company and a provider of clinically validated fraud, abuse, and overpayment prevention solutions for private and public-sector payors, announced today that the company launched StopHealthCareFraud.com to help consumers identify and report health care fraud.

According to the National Health Care Anti-Fraud Association (NHCAA), health care fraud accounts for 3 to 10 percent of total annual U.S. health care costs. At almost $250 billion in 2009, the money lost to fraud could potentially insure up to 30 million more Americans, approximately 60 percent of our country’s uninsured population.

In 2009, health care fraud will cost Americans with health care coverage an average of $200 to $800 per person. The impact of fraud also manifests itself in the form of higher premiums, lost health benefits, inaccurate medical records, and increased out-of-pocket health spending.

StopHealthCareFraud.com is dedicated to helping consumers understand, identify, and take action against health care fraud to combat fraudulent provider activity and save consumers and payors billions of dollars annually. The site is loaded with tips, statistics, and other resources to help consumers become aware and stay informed of emerging trends and fraud schemes.

“We are very excited to launch StopHealthCareFraud.com. Unfortunately, most Americans don’t realize the scale, cost, and overall impact of the fraud problem, which underscores the need for a resource like this. Health care fraud is a serious crime that affects every participant in the health care system, including providers, insurers, government programs, and consumers This site is an essential tool to promote awareness and get consumers to take action and join the fight against fraud.” said Darin Johnson, vice president of marketing for HealthCare Insight.

Features of the site include:
• Blow-the-whistle/report-a-provider form – Resource for consumers to refer a provider or facility for investigation by HCI’s clinical experts
• Fraud Fighting Resource Library
o Documents – tips, statistics, facts, and answers to frequently asked questions
o Tools – fraud loss calculator, fraud awareness tests, template letters to send to state and federal representatives
o Links – links to organizations, associations, and websites that can help consumers in the fight against fraud

o Blog – Site editors and industry experts provide the latest tips and information on health care fraud
• Fraud news and videos
• Fraud-related videos and interviews
• Fraud-related news and magazine articles
• Join-the-fight form to sign up for member-only information, resources, newsletters, and fraud alerts
• Social media connections to Twitter, Facebook, and LinkedIn
• Interactive tools and widgets, including web polls, fraud calculators, user comments, and ratings
• Provider license verification for each state – Routes consumers directly to state websites to run a license check on their doctor, dentist, or nurse.

About HealthCare Insight® (HCI)
HCI, a Verisk Health company, provides private and public sector health care claims payors (including health plans, managed care organizations, insurance carriers, third-party administrators, Medicaid, and Medicare) with a comprehensive suite of clinically validated fraud and abuse surveillance services designed to maximize claims administration accuracy and minimize payment waste. Each of HCI’s customizable software-as-a-service (SaaS) solutions relies on a unique prepayment process that combines proprietary software systems with detailed review by experienced clinicians (doctors, nurses, and dentists) and investigators on all suspect claims and billing patterns. HCI’s differentiated process enables payors to target fraud with greater efficiency by significantly increasing the quality of results returned. For more information and to learn about HCI’s no-cost Cost Reduction Analysis, please www.hcinsight.com or call 1-877-619-5557.