White Paper:FRAUD ANALYTICS ON OPIOIDS OVERDOSE
Radpidly increasing cases of Opioid overdose and high utilization, causing the overall deterioration of health and increasing the death rate across age groups in U.S. We need a smart system to detect and prevent the fraudulent activities to reduce the healthcare cost and waste, and improve the overall quality of healthcare services.
“Fraud accounts for 19% of the $600B to $800B in waste in the U.S. healthcare system annually. Each family in the U.S pays more than an extra $800 in health care costs each year due to healthcare fraud. Since 2008, Medicaid’s improper payment rate has averaged 8.4%, resulting in $161B worth of improper payments and accounting for more than 17% of all improper payments made by the federal government”- as per 2015 advizehealth.com article