converging data and action to prevent fraud

Compiling data alone is not enough to prevent healthcare fraud. Our ability to analyze and act on the information that we gather is the key.

By cross-purposing disparate data sources, such as medical, pharmacy, cross-payer, and public data, and then applying advanced analytics, we’re quickly becoming more agile at identifying evolving behavior trends and fraud schemes. In combining this technology with intelligent approaches, like working together with providers, other payers, and law enforcement, we’re finding that fraud can actually be prevented, instead of just
retroactively identified.

In this 60-minute on-demand webinar, you'll learn:

  • The various types of data we’re mining
  • The analytics we’re building to leverage that data
  • How Centene is using actionable data and best practices to stay ahead of the latest schemes in healthcare fraud

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