THE PROBLEM Since the error rate in Medicare and Medicaid claim payments runs from 8% to 12%, it’ s easy to see how the costs of fraud, waste, and abuse can add up. That’ s roughly 10 cents of every health plan dollar wasted. One regional Blue plan knew how damaging those kinds of losses could be, especially with 150,000 Medicare Advantage and 500,000 Medicaid members. Feeling the pinch of tighter reimbursement from federal and state governme

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