Medicare & Medicaid and Trifacta

Opportunity

The U.S. government loses billions of dollars every year from Medicare and Medicaid fraud, not only as a result of paying falsely-reported claims, but from the time and money spent recovering these losses. The Centers for Medicare & Medicaid Services (CMS) sought out a means to sort quickly through claims data and identify improper reporting before they are paid. 

Challenges

• Healthcare claims data is complex and difficult to standardize especially when leveraging existing analytics models for patient care, disease outbreaks and fraud.
• In order to leverage data more efficiently, analysts needed a common data wrangling solution to explore, prepare and analyze this diverse claims data.

Solution with Trifacta

• By integrating Trifacta’s data wrangling solution into Leidos’ CAADS platform, data wrangling tasks that normally took  six weeks are now taking as little as a day.
• Trifacta is helping CMS begin to chip away at the billions lost each year from fraudulent claims.

Learn More

Learn how the use of The Centers for Medicare & Medicaid Services’ CAADS platform will help the U.S. government continue to achieve its most important goal: to shield people from the ravages of disease by mapping and analyzing its insidious spread, and ultimately, saving lives. Visit the website.