This session will focus on:
- California’s efforts to combat fraud, waste and abuse in Medi-Cal, California’s Medicaid program.
How California is exploiting available data and data sharing opportunities for purposes of Medicaid program integrity objectives.
A summary of program integrity best practices from the perspective of a Medicaid Program Integrity Director.
California’s future vision with regards to the use of data and data analytics to support its Medi-Cal fraud-control strategy.
Learning Objectives:
Obtain program integrity best practices that can be leveraged by the participating entity.
Discover new ways to exploit data to identify and develop actionable leads.
Performance metrics and return on investment – ways to measure success.