Case Study
CMS One PI (Program Integrity)
CMS One PI (Program Integrity) GOALS Preserve and protect the integrity of Medicare and Medicaid by creating the One PI system to identify, deter and prevent all fraud, waste and abuse activities across the Centers for Medicare and Medicaid Services (CMS) RESULTS Helped CMS develop Medicare-Medicaid (Medi-Medi) data analytics to improve PI and fight FWA, and created a mapping tool to identify opioid prescriptions locally to fight the epidemic. SOLUTIONS USED Optum develops, maintains and improves the One PI portal and creates new ways for CMS to analyze data to include training, business intelligence, security and compliance, and continually engages the end-user community.