Gartner Research

The Next Steps to Combating Healthcare Fraud

Published: 18 May 2006

ID: G00140017

Analyst(s): Joanne Galimi

Summary

Deploying retrospective fraud and abuse identification methods is only one approach to combating healthcare fraud. Payer organizations must invest in predictive and preventive measures to mitigate losses.

Table Of Contents
  • Overview
  • Predictions
  • The Retrospective Approach
  • The Prospective Approach
  • The Preventive Approach
    • Predictive Analytics
    • Consumer Involvement
    • Provider Relationships
  • Recommendations

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