ONLINE May 18, 2020: America's Health Insurance Plans Schedules Webinar on Preventing Fraud, Waste & Abuse, Increasing Efficiencies

WASHINGTON, May 18 -- The America's Health Insurance Plans will host a webinar entitled "Preventing Fraud, Waste and Abuse and Increasing Efficiencies with Innovative Artificial Intelligence" on June 23 from 1 p.m.-2 p.m. (ET):

The posted description from the organization states:

Fraud, waste and abuse (FWA) is a $240 billion problem in the U.S. When fraudulent claims are paid, healthcare insurers are left out of pocket, trying to be reimbursed after payment.

Estimates are that only five to ten percent of fraud is intercepted, according to the National Health Care Anti-Fraud Association.

With increasingly complex schemes, it's getting harder to eliminate FWA with traditional payment integrity solutions.

In this webinar, Mastercard will explain how to increase the identification and prevention of FWA with AI, significantly reducing inefficient pay-and-chase activities and moving toward a prevent and save business model.

With increased detection of true FWA, false positives are greatly reduced, anomaly detection is significantly increased, and payers' investigators can focus their time on highly-likely FWA.

We will explain how a proven AI solution leverages experience in payment fraud to complement claim fraud mitigation and how this technology creates prospective (pre-pay) models built by identifying anomalies found in historical claims data (post-pay).

Participants in this webinar will learn how to:

* Increase the identification and prevention of FWA with AI

* Reduce inefficient pay-and-chase activities by moving toward a prevent and save business model.

* Deploy AI to create prospective (pre-pay) models built by identifying anomalies found in historical claims data (post-pay).

* Reduce false positives and increase anomaly detection

* Increase investigative efficiencies

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Speakers:

Beth Griffin, VP, Healthcare Product Development and Innovation, Mastercard

Tim McBride, AHFI, Director, Healthcare Product Development and Innovation, Mastercard

Jala Attia, President, Integrity Advantage

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For more details on the event: https://www.ahip.org/events/preventing-fwa-and-increasing-efficiencies-with-innovative-ai/