Preventing, Detecting, and Reporting Fraud, Waste, and Abuse

All companies are looking for ways to reduce healthcare costs and Milliman Payment Integrity (MPI) is part of the solution. MPI is a product that uses medical and pharmacy claims, enrollment, provider, and health plans benefits data to identify, analyze, and report on fraud, waste, and abuse. Ongoing electronic audits using MPI of medical and pharmacy claims can find these discrepancies, leading to the recovery of over payments. Even more importantly, audits can identify problems in the way a plan is set up and point the way to eradicating inaccuracies, reducing cost, and preventing waste in the future.