For over 30 years, health care anti-fraud professionals have looked to the NHCAA Annual Training Conference (ATC) for the latest in health care fraud solutions, training and networking. This year, put your company in front of 1,300 attendees as we gather to share our experiences, knowledge, and solutions on how to solve the challenges of health care fraud.

NHCAA distributed the Association's 2017 Year-in-Review highlighting the past year's successes and accomplishments, confirming once again that the Association provides our members, partners, and the industry with a range of effective resources to improve and strengthen the fight against health care fraud.

The Centers for Medicare and Medicaid Services (CMS) has proposed significant changes to how medical loss ratio is calculated and reported for Medicare Advantage and Part D plans. If made final, the rule would expand the definition of Quality Improvement Activities (QIA) to include fraud reduction activities, including fraud prevention, fraud detection, and fraud recovery. NHCAA submitted a letter of support.

This new white paper offers a broad summary of our nation’s health care system, highlighting the prominent programs and types of health insurance, while also examining the role that fraud plays, including the laws, regulations and other tools in place to combat it.

The National Health Care Anti-Fraud Association (NHCAA) announced that David S. Popik, Senior Director of the Special Investigations Unit for Florida Blue has been elected as the 2018 Chair of the NHCAA Board of Directors. Popik succeeds Rick E. Munson, Vice President of Investigations at UnitedHealthcare.

NHCAA would like to congratulate the winners of the 2017 NHCAA Awards Program: Investigation of the Year, Medical Directors, Excellence in Public Awareness and SIRIS Investigation of the Year.