Insights

Healthcare Fraud Prevention and The Affordable Care Act

Beginning in October, under the Affordable Care
Act, the healthcare exchange marketplace will be a place where Americans can
apply for health insurance coverage, allowing them to pick and choose from multiple
providers in their area with the submission of one application. This application
requires out-of-wallet and in-depth questions about the applicant such as
name, address, social
security number, date of birth, income and household information.

The
marketplace will help facilitate data exchanges between enrollees and providers.
Consumer security and peace of mind will be maintained by a
secured data hub, which will store
everyones data. The problem with this data hub is the fact that it will
contain millions of consumer identities and everything a fraudster would need
to steal an identity.

Just
a small leak of the information and fraudsters would have access to millions of
consumer profiles to sell or use in fund transfers, tax refunds, credit
purchases and more. The potential loss could be detrimental to businesses and organizations
of any industry.

The affect on consumers, especially
seniors and lower-income individuals would also be
significant.

Powerful steps taken toward combating health care fraud and
identity theft need to be taken before the healthcare exchange marketplace is
being used extensively.
With the digital world in full swing, its becoming even more
important to protect your business and customers with the best
identity verification and fraud prevention solutions. As a business, go beyond
compliance and provide a proactive approach to fighting fraud.

 

[Contributed by EVS Marketing]

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