Public Sector

By: Maria Moynihan Fact:  In fiscal year 2011, the federal government allocated ~$608M to investigate and prosecute cases of alleged fraud in health care programs Fact:  Medicare and Medicaid related scams cost taxpayers more than $60B a year These statistics are profound, especially when so many truly need–and rightfully deserve–access to health benefits.  To make the facts a bit more tangible, how would you feel if you heard that neighbors of yours were submitting claims to Medicare for treatments that were never provided? In essence, you’ve got thieves for neighbors, don’t you? Thankfully, government agencies are responding. Even while being challenged with reduced budgets and limited resources; they are investing in efficient processes, advanced data, analytics and decisioning tools to improve their visibility into individuals at the point of application. By simply making adjustments to one or all of these areas, agencies can pinpoint whether or not individuals are who they say they are. Only with precision, relevancy, and efficiency of information, can fraud and abuse be curtailed. Below are a few examples of how to improve your eligibility systems or processes today. Or, simply download the Issue Brief, Beyond Traditional Eligibility Verification, for more detail. Use scores, models, and screening questions to assess a beneficiary’s true identity or level of identity fraud risk. Use income and asset estimation models to compare to stated income as a validation step in determination of benefits eligibility. Create a single system for automatic identification and verification of beneficiaries and businesses applying for service. Tighten controls around business identity to weed out fraud rings, syndicates and other forms of business fraud. The Bottom Line: Only with process, information, or system improvements, can government agencies move the needle on the growing and pressing issue of fraud and abuse.

By: Maria Moynihan Cyber Monday recently passed and I'm curious to know if you were one of the many who contributed to the $1.465 billion spend online that day?  ‘Tis the season - not only for increased online shopping, but for increased ID theft or risk of fraudulent activity. With a quick online search, you can find some good tips on how to protect your information.  Here’s a great read on password protection. Other sources offer added tips, like the below, when submitting information online: 1)  Ensure sensitive information is secure before submitting 2) Only access websites you know you can trust 3)  Be sure you are comfortable with the information your mobile device is asking you to provide in specific apps Beyond the holidays and even beyond the type of organization you are interacting with, these online tips apply. Government agencies for instance, encourage similar cautionary behavior when interacting with them. In fact, several have even implemented tools and processes to ensure the proper level of information security, authentication, and checking occur. Take the Social Security Administration for example. Here is an agency that implemented a secure process for individuals to access their benefits online. By incorporating a step to quickly and efficiently cross check an individual’s identity, the agency was able to validate information, ensuring people seeking access to their information are truly who they say they are. Watch a video to see how the Social Security Administration offers secure real-time access to individuals’ benefits. And, most importantly, keep these important information safety tips in mind every day and enjoy a stress-free and peaceful holiday!  

By: Maria Moynihan The public sector is not unlike the private sector when it comes to data. Both require accuracy and relevancy for optimized processes and decision-making. For government agencies, maintaining a holistic view of constituents is more important than ever. By linking data across department systems, governments improve operations, citizen profiling and overall record management.  No longer do agencies have to muddle through records of Maria Moynihan, Mari Moynihan, M Moynihan, and other variations of name or contact information when they all are truly one in the same. Unfortunately, without the right tools and know how, database maintenance, record deduplication, and account validation can be a daunting process.  Below are five critical steps to helping government agencies execute successful linkage of database records: Step 1: Engage stakeholders Data stewards are not mind readers. They work with finite data and rely on stakeholders to provide insight. Seek input from users across departments and functions. Step 2: Identify impacts and priorities Data errors and disparate data prevent stewards from amalgamating records and defining a master database. Focus on areas of strategic priority. Step 3: Create success criteria Look for and set quantifiable metrics for matching. Consider what data needs to be linked and what thresholds are acceptable given objectives. Step 4: Define new standards Create established workflows and guidelines for evaluating, merging and purging records. Step 5: Leverage matching technology Integrate robust deduplication tools to design multiple workflows and handle a variety of matching challenges. In short, without data stewards seeking input from commercial stakeholders, an understanding of the data impacts, and establishing a clear process including defined methodologies and technology for deduplication, government agencies will remain challenged in trying to figure out if Maria, Mari, and M are the same person in databases. Click here to see the full guide to Creating a Single View.  

By: Maria Moynihan State and local governments responsible for growth may be missing out on an immediate and sizeable revenue opportunity if their data and processes for collections are not up to par. The Experian Public Sector team recently partnered with Governing Magazine to conduct a nationwide survey with state and local government professionals to better understand how their debt collections efforts are helping to address current revenue gaps. Interestingly enough, 81% stated that the economic climate has negatively impacted their collections efforts, either through reduced staff or reduced budgets, while 30% of respondents are actively looking for new technologies to aid in their debt collections processes. New technologies are always a worthwhile investment. Operational efficiencies will ultimately ensue, but those government organizations who are coupling this investment with improved data and analytics are even better positioned to optimize collections processes and benefit from growth in revenue streams. No longer does the public sector need to lag behind the private sector in debt recovery. With the total outstanding debt among the 50 states reaching an astounding size of approximately $631 billion dollars, why delay? Check out Experian's guide to improving debt collections efforts in the public sector. What is your agency doing to capitalize on revenue from overdue obligations?