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Obamacare FY14 Budget: ‘To Ensure Integrity of Programs That Redistribute Tens of Billions’ - Also for Datamining

 
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10/31/2013 05:56 PM
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Obamacare FY14 Budget: ‘To Ensure Integrity of Programs That Redistribute Tens of Billions’ - Also for Datamining
Can't make this shit up and we all knew it already.

[link to cnsnews.com]

-Snip

“To ensure the integrity of programs that redistribute tens of billions of dollars,” says the budget justification, “CMS must have robust systems to audit and/or validate user fees, calculations of cost-sharing reductions, advance payment of premium tax credits, reinsurance, risk corridors, and risk adjustment, carefully track operational data and metrics (e.g. reinsurance payments, payment parameters, audit methodology, populations, etc.) across the three market stabilizing programs and the Marketplaces, as well as to implement and maintain a fraud surveillance program to prevent and detect fraud, waste, and abuse. CMS will use proactive measures including data mining techniques and other analytic activities to detect anomalies that may be indicators of fraudulent activity.”

The section of the budget justification dealing with CMS’s IT expenditures says one purpose of these expenditures will be to make sure CMS can warehouse and data mine information it collects through the Obamacare “Marketplaces.”

- See more at: [link to cnsnews.com]
9th ring hot.

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