WEBINAR ON DEMAND
Duration: 30 minutes

Provider payment fraud is a costly and persistent challenge for health plans. Now, growing regulatory pressure is raising the stakes. CMS is sharpening its focus on provider verification and program integrity, while new Healthcare Dive research finds that 100% of surveyed health plans experienced provider payment fraud in the past year and 68% estimate annual losses of $5 million or more.

The findings also reveal a disconnect: Nearly all organizations report verifying bank account ownership during provider onboarding, but only 21% typically catch fraud at that point. Much of it is discovered during audits or after fraudulent payments have already gone out.

In this webinar, Frank Fox, Healthcare Lead at Plaid, will unpack what the research reveals about the state of provider payment fraud, explore why existing verification processes may leave gaps, and share an action plan for strengthening fraud prevention.

SPEAKERS

Frank Fox
Healthcare Lead, Plaid