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NHCAA Comments on Proposed Changes to MLR Under Medicare Parts C & D

Published on 1/17/2018 by “NHCAA”

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.

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MITRE's Healthcare Anti-Fraud Academic Competition

Published on 12/13/2017 by “NHCAA”

The MITRE Healthcare Anti-Fraud Academic Competition seeks to discover talented individuals with innovative solutions to assist government and private healthcare payers reduce dollars lost to health care fraud. MITRE is recruiting inquisitive students at U.S.-based colleges and universities.

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Press Release: David S. Popik Elected NHCAA Board Chair

Published on 11/20/2017 by “NHCAA”

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.

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NHCAA 2017 Award Winners

Published on 11/20/2017 by “NHCAA”

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.

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