Chautauqua County continues Medicaid investigation after efforts uncover
system abuse
HORSEHEADS, N.Y., May 12 /PRNewswire/ -- Medicaid eligibility topped
more than 4 million in New York State in 2007. With so many recipients and
providers involved, the New York State Department of Health is committed to
eliminating any cases of fraud, waste, and abuse.
Over the last two years, Salient Corporation, provider of the world's
most advanced performance management technology, has helped seven New York
State counties uncover thousands of cases of Medicaid fraud, waste, and
abuse. Two additional counties are also in the process of contracting and
implementing the solution.
Chautauqua County was the seventh New York County to contract for
Salient's performance management solution to manage Medicaid. In just eight
months since it implemented its Medicaid investigation, it has identified
several potential instances of provider fraud, validating this project's
continued existence.
Other statewide counties using the system include: Albany, Chemung,
Monroe, Onondaga, Broome, and Ulster; and it will soon be implemented and
running in the New York City-Long Island counties of Nassau and Suffolk.
The Salient solution provides counties with near real-time,
interrogative access to transactional as well as select non-transactional
program data, enabling them to immediately identify opportunities for cost
savings and operation efficiency, and to detect questionable activity. In
addition, for the first time, it has enabled these counties to have a
complete view of the activities of all of their providers and recipients so
that they can identify behavior patterns and work with the providers and
recipients to improve the quality of service while reducing costs.
"We use the Salient system to identify and track providers who may be
audited based on questionable activities," said Greg Edwards, Chautauqua
County Executive. "With it, our Medicaid specialist has passed along
several potential targets to the State Office of Medicaid Inspector General
for further investigation. We also have expanded on our current
responsibilities around recipient fraud, as we now have an easy-to-use
continuous monitoring solution for reviewing Medicaid cases."
Under the Medicaid program, taxpayer dollars are used to provide health
care to low-income individuals. According to the State Department of
Health, these dollars must be effectively spent to help those in need;
however, a small percentage of providers and recipients engage in various
forms of fraud and abuse. This affects everyone-the recipients of care, the
taxpayers who pay for it, and the vast majority of providers who deliver
quality care.
"The Salient system provides complete information on every individual
and case in the system and it allows for instantaneous investigation into
anomalies," said Guy Amisano, president and founder, Salient. "We expect
more activity-both at the federal and national levels-as government looks
to create more accountability in existing systems, discover cost savings,
and improve overall efficiency."
For more information, please visit http://www.salient.com.
About Salient Corporation
Salient Corporation, located in Horseheads, NY, presents a radical new
paradigm for monitoring and controlling government spending. The company
provides near real-time, continuous auditing and continuous monitoring
capabilities to precisely measure the impact of economic activity on the
quality and quantity of services delivered, and then to deploy this
knowledge to improve results. Salient's clients span the public and private
sectors and represent more than 35,000 users in 53 countries. For more
information, visit http://www.salient.com.
SOURCE Salient Corporation
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Related links:
http://www.salient.com
CONTACT:
Corrie Carter, ccarter@martinoflynn.com, or
Julie Napieralski, jnapieralski@martinoflynn.com, both for
Salient Corporation, +1-585-421-0100
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