The $80+ Billion Price Tag of Healthcare Fraud
- Feb 25, 2022
- Pharmacy Benefit Management
One reason why anti-fraud measures can be a huge challenge is the fast-paced nature of pharmacy claims processing, said Carrie Aiken, CHC, the vice president and corporate compliance and privacy officer at Navitus Health Solutions, a Pharmacy Benefit Manager (PBM) owned jointly by SSM Health and Costco Wholesale Corp., and the sponsor of the webinar. “Pharmacy services are processed in real time,” Ms. Aiken explained. “That makes fraud, waste and abuse in the pharmacy space a crime of opportunity because it’s rapid. As a result, it requires rapid intervention to make sure we’re protecting those dollars for our plan sponsors and protecting beneficiaries.”
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