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NHCAA Survey Infographic

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This Year, at NHCAA’s Annual Training Conference, we polled over 300 healthcare experts to better understand the current state of fraud, waste and abuse in the United States. We've compiled the …

This Year, at NHCAA’s Annual Training Conference, we polled over 300 healthcare experts to better understand the current state of fraud, waste and abuse in the United States. We've compiled the answers in our "Behind Healthcare Fraud, Waste and Abuse" infographic, which we hope you'll enjoy. Join the discussion on Twitter #BehindFWA.

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  • 1. HEALTHCARE FRAUD, WASTE AND ABUSE. BEHIND WHAT WHERE WHEN & WHY At NHCAA’s 2013 Annual Training Conference, we polled 300 investigators, clinicians and other FWA experts across commercial, federal and local state agencies to better understand where we’re effectively fighting fraud, waste and abuse–and where we have room for improvement. Below are the answers they provided. Ahead is the opportunity to put up a better fight. $300 FWA LOSSES, A BREAKDOWN ANNUAL LOSSES BY INDUSTRY (IN BILLIONS) Facility BILLION Physician Dental Every year, over $300 billion is lost to healthcare fraud, waste and abuse in this country. Every day, we lose nearly $1,000,000,000. That’s nearly $600,000 every minute. Rx 0 10 50 WHAT OTHER RESOURCES ARE REQUIRED TO HELP STOP FWA? 55% 100 150 200 WHERE CAN WE MOST IMPROVE OUR EFFORTS? 51% New software solutions and innovative technology. The sharing of healthcare data across payers. 42% 37% New and evolving organizational strategies and support. Increased transparency between payers and providers. 3% 12% Other (Examples included: more tools, man-power) Greater government oversight and regulation. WHEN THE ACA TAKES EFFECT, HOW WILL IT IMPACT FWA? WHY HAVE WE BEEN UNSUCCESSFUL FIGHTING FWA? 45% 75% There has been lack of innovation in the tools we use to fight FWA. An increase in the emergence of new schemes and trends. 22% 40% It will mitigate and prevent future schemes and trends. Laws and bureaucracy prevent us from real improvements. 15% 3% Other (Examples included: human resources, organizational support) There will be a minimal impact in new schemes or our ability to prevent FWA. HOW WE CAN REDUCE THE IMPACT OF FWA’S EFFECTS. © 2014 Verisk Health New Technology Better Innovation Cross-Payer Collaboration To learn more about healthcare fraud, waste and abuse visit www.veriskhealth.com/fwa