HCI addresses fraud, other health care cost issues – AHIP

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HCI addresses fraud, other health care cost issues – AHIP

While at the San Diego AHIP conference we interviewed HCI Insight, a company that promises to reduce the cost of health care by addressing fraud. HCI’s loss calculators indicate that a health insurance firm with 3,000,000 (3 million) lives insured stands to lose $381 million over a specified period of time, and their solution is designed to address this issue, according to HCI executives.

We’ll post our video interview in an update to this blog later today.

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About the Author:

Michael is Managing Partner & CEO of No World Borders, a leading health care management and IT consulting firm. He leads a team that provides Cybersecurity best practices for healthcare clients, ICD-10 Consulting, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, Insurance Fraud, payor-provider disputes, and consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $4 billion in healthcare mergers and acquisitions. Education: UC Irvine – Economics and Computer Science, University of Southern California – Business, Stanford Medical School – Biomedical Informatics, Harvard Law School – Bioethics.

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