SCAN Health Plan is a nonprofit health insurance company in Southern California focused on Medicare Advantage Programs for seniors. Listen to their story about how they busted a drug scheme with analytics.
Learn how their Special Investigations Unit (SIU) used network analysis to identify predatory pharmacies engaged in a lidocaine compound scam, fraudulently dispensing medication to seniors who didn’t need it. By analyzing claims data, the team of two identified predatory pharmacies and stopped payments to them, saving over $1.5 million in the first year.
Watch to hear how healthcare payers and providers can combat fraud and waste. You’ll learn how to:
Katherine Yue
Manager, Special Investigations
SCAN Health Plan
Cassandra Olsen
Risk Analyst
SCAN Health Plan
Andy Dé
Senior Director, Healthcare Solutions
Alteryx