Medicare Fraud is Ripe for a Tech Solution, But It's Complicated
2. Let's look around the world to see if anyone else has solved this problem, and see what we can learn from them. Taiwan has the lowest administrative cost of healthcare in the world – two percent, according to Kelli Emerick, executive director of the SecureID Coalition. One reason: They use smart cards. And I am told that Canada may have some clever ways to roll out a national patient identifier.
3. Let's put some effort into the public/private partnership that is NSTIC, the National Strategy for Trusted Identities in Cyberspace. It is the umbrella group established by executive order in 2011. NSTIC describes an "identity ecosystem" that allows individuals and organizations to trust each other through a set of agreed-upon standards and practices.
NSTIC has convened a healthcare committee which has regular conference calls, and could benefit from greater participation by providers. Already, a number of major stakeholders are participating. It is also conducting its own pilot, with the help of five awardees.
4. Engage with a group that's just been announced, the Medicare Identity Fraud Alliance. Supporters include AARP, Blue Cross and Blue Shield Association, Consumer Federation of America, ID Experts, Identity Theft Resource Center, and National Health Care Anti-Fraud Association. Get some providers involved in that effort, for a less piecemeal approach.
5. Pay attention to Patient Privacy Rights (PPR), a nonprofit which spearheads efforts in this area and hosts an annual conference, where the story recently broke of hospitals providing re-identifiable information via public health reporting requirements.
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