SOURCE: HealthCare Insight

August 18, 2009 09:00 ET

HealthCare Insight Coauthors a Chapter in "Stop Paying the Crooks: Solutions to End the Fraud That Threatens Your Healthcare"

HCI and Verisk Health Write Chapter 8, "The 'F' Word: $250 Billion of Easy Money"

SALT LAKE CITY, UT--(Marketwire - August 18, 2009) - HealthCare Insight® (HCI), a division of Verisk Health, Inc. and provider of clinically validated fraud, abuse and overpayment prevention solutions for private and public-sector payors, announced today that it has coauthored a chapter in the new book "Stop Paying the Crooks: Solutions to End the Fraud That Threatens Your Healthcare." Published by the Center for Health Transformation, the book is edited by James R. Frogue, with a foreword by Newt Gingrich.

Chapter 8, entitled "The 'F' Word: $250 Billion of Easy Money," chronicles how health care and the associated costs have become two of the greatest issues of our time. Doctors Chris Kryder and Barry Johnson lead Verisk Health and its HealthCare Insight division respectively, comprising one of the largest health care data analytics firms in the United States, and they offer insight into how the fraud dollars lost within Medicare and Medicaid outweigh the losses administered by commercial insurers.

Dr. Kryder and Dr. Johnson emphasize that it is a matter of utmost importance that we institute immediate and comprehensive fraud prevention policies to be sure we do not repeat and exacerbate very costly existing problems. They estimate that with an aggressive and coordinated fraud and abuse prevention policy imposed by all payors, the potential realized cost savings could approach $250 billion annually.

"With this current climate of government spending and fraud, it is the perfect time for the Center for Health Transformation to announce the upcoming publication of an in-depth book on health care fraud, and we are very excited to be a part of this critical book," said Dr. Barry Johnson, president of HealthCare Insight. "Given that health care costs make up around one-seventh of America's economy, it is imperative at this time to ensure that funding goes to appropriate people and organizations, not crooks seeking to rob taxpayers. We hope this book sparks many national discussions about fraud, the perverse incentives that allow such fraud to flourish and key strategies to bring these schemes to an end."

About HealthCare Insight® (HCI)

HCI, a division of Verisk Health, Inc., provides private and public-sector health care claims payors (including health plans, managed care organizations, insurance carriers, third-party administrators, Medicaid, and Medicare) with a comprehensive suite of clinically validated fraud and abuse surveillance services designed to maximize claims administration accuracy and minimize payment waste. Each of HCI's customizable software-as-a-service (SaaS) solutions relies on a unique prepayment process that combines proprietary software systems with detailed review by experienced clinicians (doctors, nurses, and dentists) and investigators on all suspect claims and billing patterns. HCI's differentiated process enables payors to target fraud with greater efficiency by significantly increasing the quality of results returned. For more information and to learn about HCI's no-cost Cost Reduction Analysis, please visit or call 1-877-619-5557.

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