AMG-SIU heats up at CAHP’s annual conference
This was a busy week for AMG-SIU, we attended two conferences one for the California Association of Health Plans (CAHP) in Palm Desert.
The conference was educational, with several sessions dedicated to the growing pains California is experiencing within the health care industry and how to make healthcare affordable to more Californians.
With our background, we of course think that one of the first steps health plans should make is to ensure that they’re doing everything possible to reduce fraud, waste and abuse within their companies through a claims editing system and education. On average, we find that approximately 10 percent of health plans’ claims dollars are spent unnecessarily on claims that are fraudulent, wasteful or made in error.
By working with us, one of our clients has significantly reduced the amount of fraud, waste and abuse to 1-2 percent of their claims dollars- and that number will go down even further as they continue their education efforts.