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Rose McGowan

Austin Company Leads Medicaid Fraud Crackdown - 1 views

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    Texas pays out $28 billion a year to some 4.8 million people, according to Kaiser. The state picks up one-fourth of the tab, and the feds pay the rest.  The FBI estimates that 10% of Medicaid claims are fraudulent, which comes out to $2.8 billion a year in Texas alone. On Monday, Austin company 21CT launches a new computer system called "Torch" to help the state bring scammers to justice. Torch will collate state data around the clock. The system will monitor frequency of claims, the size of claims and any funny patterns or anomalies. 21CT has grown to over 100 employees, most of them devoted to the crackdown. Company officials say what they are finding is eye opening. "You know it's there," said Kyle Flaherty, Vice President of Marketing for 21CT. "What's so surprising is how complex and entrepreneurial the fraudsters can be. This is a business for them and we need to disrupt the business they are creating." Torch will eyeball providers: businesses, medical supply companies, doctors, therapists, dentists, ambulance firms, hospitals and more. The system will make it easier to sort out.
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