STARSÂ®Solutions Suite - General Dynamics Information Technology

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Healthcare fraud, waste and abuse cost the American healthcare system more than $68 billion annually and account for at least three percent of the total amount spent on healthcare annually. 1
Fraud, Waste and Abuse Protection Other estimates by government and law enforcement agencies 2 place the loss due to healthcare fraud as high as10 percent of our nation’s annual healthcare expenditure–or a staggering $226 billion–each year. And they anticipate the cost of healthcare will only continue to rise, which means the price tag associated with healthcare fraud, waste and abuse (FWA) is expected to rise too. No commercial or government health payer organization can afford to write off this much. Yet that happens when fraudulent claims are unintentionally paid. Left unchecked, the enormous cost of healthcare FWA threatens both the quality of healthcare and access to care for millions of Americans. The General Dynamics IT Advantage General Dynamics Information Technology has a broad and deep understanding of healthcare billing, claims processing and healthcare FWA. We have a proven track record of quality-driven solutions, successful implementations and service quality. When you couple that with our well-earned reputation for managing complex data extraction and integration projects, you have a dynamic convergence of abilities that can make a big difference in the return on your healthcare information technology (IT) investments and the quality of your decision-making in an anti-fraud program. At General Dynamics IT, we are experts in collecting, analyzing and reporting data related to FWA. Our work is backed by an organization with more than 30 years of experience aggregating and analyzing data - one with more than 50 large-scale data warehouse deployments, more than 2.5 billion claims stored and analyzed annually, and more than 300 million covered lives analyzed annually. Major government programs and 70 of the top 200 health plans use our healthcare informatics solutions. You can count on keen insights, rigorous analysis, smooth implementations and superior service. FAST FRAUD FACTS • The U.S. spends more than $2 trillion on healthcare annually. At least 3 percent of that spending–or $68 billion–is lost to FWA each year. (National Health Care Anti-fraud Association, 2009) • In 2011, the Health Care Fraud Prevention and Enforcement Action Team (HEAT), comprised of the Department of Justice and the U.S. Department of Health and Human Services, recovered more than $4 billion due to the departments’ anti-fraud activities. (HHS News Release, April 4, 2012) 3 1. National Health Care Anti-fraud Association, 2009. http://www.nhcaa.org 2. Centers for Medicare and Medicaid Services, Office of the Actuary, National Health Expenditure Projections 2007-2017. Federal Bureau of Investigation, Financial Crimes Report to the Public, Fiscal Year 2007. http://www.cms.hhs.gov/NationalHealthExpendData/Downloads/proj2007.pdf, http://www.fbi.gov/publications/financial/fcs_report2007/financial_crime_2007.htm 3. http://www.hhs.gov/news/press/2012pres/04/20120404a.html
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STARSÂ®Solutions Suite - General Dynamics Information Technology

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