VA and CMS Partner to Strengthen Prevention of Fraud, Waste and Abuse Efforts

In an announcement on January 23, U.S. Department of Veterans Affairs (VA) and Department of Health and Human Services (HHS) Centers for Medicare and Medicaid Services (CMS) announced a partnership to share data, data analytics tools and best practices for identifying and preventing fraud, waste and abuse.   This new partnership will enhance ongoing efforts between the country’s two largest public-private health-care payment organizations to help America’s Veterans by leveraging the gains made by CMS. 

In the announcement VA Secretary Dr. David Shulkin, who will be giving a Keynote Address at HIMSS18, said, “The VA-HHS alliance represents the latest example of VA’s commitment to find partners to assist with identifying new and innovative ways to seek out fraud, waste and abuse and ensure every tax dollar given to VA supports Veterans.” He also noted that this effort is another step in achieving President Trump’s 10-point plan to reform the VA by collaborating with its federal partners to improve VA’s ability to investigate fraud and wrongdoing in VA programs.

VA plans to capitalize on the advancements in analytics CMS has made by concentrating on its use of advanced technology, statistics and data analytics to improve fraud detection and prevention efforts.

Last summer Shulkin created an advisory commission focused on finding new ways to identify and prevent waste and fraud. In November of 2017, the VA convened a group of private sector experts to talk about commercial fraud detection solutions. Coming in April, the VA will invite these experts to demonstrate their capabilities for detecting and preventing fraud, waste and abuse and recovering improper payments.