Published:
Thomson Reuters Chosen to Provide Analytic Services to Help Kentucky Uncover Medicaid Fraud and Waste
ANN ARBOR, Mich., June 27 /PRNewswire-FirstCall/ -- The Healthcare
business of Thomson Reuters has been selected to assist in providing data
analysis services forKentucky's Medicaid fraud detection program.
Thomson Reuters will provide these services as a subcontractor to Health
Care Excel -- a healthcare utilization management and quality improvement
organization. Health Care Excel is providing Surveillance and Utilization
Review Services (SURS) to the Kentucky Medicaid program.
The contract was awarded following a competitive procurement process. It
will extend for 27 months if all options are exercised.
All states are required to ensure proper and efficient administration of
their Medicaid program through SURS. This includes the analysis of medical
claims and healthcare delivery patterns to identify unusual billing practices
-- such as inconsistent, excessive, duplicative, or otherwise suspicious
claims.
"We are pleased to be working with Health Care Excel to provide the
Commonwealth ofKentucky with enhanced intelligence in how to detect and
prevent Medicaid fraud and abuse," said Jon Newpol, Thomson Reuters executive
vice president. "This is an important effort by the Commonwealth to ensure tax
dollars are spent wisely, and we are proud to be part if it."
Twelve states use Thomson Reuters' capabilities for fraud detection.
Thomson Reuters also provides fraud detection services for a variety of
Medicare and Medicaid programs nationally.
About Thomson Reuters
The Healthcare business of Thomson Reuters produces insights, information,
benchmarks and analysis that enable organizations to manage costs, improve
performance and enhance the quality of healthcare. Thomson Reuters is the
world's leading source of intelligent information for businesses and
professionals. We combine industry expertise with innovative technology to
deliver critical information to leading decision makers in the financial,
legal, tax and accounting, scientific, healthcare and media markets, powered
by the world's most trusted news organization. With headquarters inNew York
and major operations inLondon andEagan, Minnesota, Thomson Reuters employs
more than 50,000 people in 93 countries. Thomson Reuters shares are listed on
the New York Stock Exchange (NYSE: TRI); Toronto Stock Exchange (TSX: TRI);
London Stock Exchange (LSE: TRIL); and Nasdaq (Nasdaq: TRIN). For more
information, go to www.thomsonreuters.com .
SOURCE Thomson Reuters
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