2015 Annual Training Conference & Anti-Fraud Expo

Sessions Speakers Exhibitors Show Specials Floor Plan Buzz

Fraud Under the Affordable Care Act: Year Two (Room Seaport G)

19 Nov 15
10:15 AM - 11:15 AM

Tracks: Management Path, Transformation of Health Care

Individuals and small groups are now able to obtain health insurance with no pre-existing conditions and very limited underwriting through state health care exchanges. This workshop will explore the opportunity for new fraud schemes within the exchanges, capitalizing on fraud units' experiences to date. Faculty will examine impact of the exchanges on the motivations and actions of individuals and small group employers and outline strategies to identify and prevent fraudulent claims. Faculty will also pose questions about the unknowns regarding tax credit and reimbursements and exchange enrollment policy and how each of these opens new doors to fraudulent activity.