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 Designer Cloud
- 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.
Company Background
The Centers for Medicare & Medicaid Services (CMS) administers the Medicare program and works in partnership with state governments to administer Medicaid, the State Children’s Health Insurance Program (SCHIP), and health insurance portability standards.
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.
