Combating Health Care Fraud in a Post-Reform World: Seven Guiding Principles for Policymakers

Established in 1985, the National Health Care Anti-Fraud Association (NHCAA) is the leading national organization focused exclusively on combating health care fraud. We are unique among associations in that we are a private-public partnership our members comprise the nation’s most prominent private health insurers as well as those federal, state and local government law enforcement and regulatory agencies having jurisdiction over health care fraud. NHCAA’s mission is to protect and serve the public interest by increasing awareness and improving the detection, investigation, civil and criminal prosecution and prevention of health care fraud.

Spotlight

City of Memphis

Memphis is more than the home of the blues and the birthplace of rock n’ roll: It’s a great place to build your career as you work for the city you know and love! Over 8,000 city employees are doing their part to make Memphis a model city for the 21st century.

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Digital Trust

whitePaper | November 1, 2022

Digitalisation offers new approaches to trust. Competitors who do not see eye-to-eye can still transact efficiently because technologies such as privacy-enhancing technologies, distributed ledgers (also called shared ledgers), coupled with good governance in processes now enable these interactions even without parties knowing who they transact with.

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Compliance with Internal Revenue Service (IRS) Publication 1075

whitePaper | June 26, 2022

The United States Internal Revenue Service’s (IRS) goal is to promote taxpayer confidence in the integrity of the tax system by ensuring confidentiality of the tax information provided to the federal, state and local agencies. The IRS 1075 publication provides guidance to agencies, agents, contractors and subcontractors on implementing adequate policies, processes, controls and safeguards to protect Federal tax information (FTI). The IRS 1075 requirements follow the FedRAMP and NIST 800-53 Rev.5 guidelines. Agencies that receive FTI must ensure that they have adequate programs in place to protect the data received in line with IRS 1075 guidelines. VMware Cloud on AWS GovCloud (US) has been authorized against the FedRAMP High baseline controls and therefore can support agencies in meeting the IRS 1075 requirements.

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Government Special Report

whitePaper | December 27, 2021

Government Financial & Operational Management Special Report Identifying the challenges that face your governmental entity is oftentimes the first step in helping position your government for future success. Are you able to balance the needs of your community while efficiently managing and reporting on the services you’re charged with providing?

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How Do Sovereign Wealth Funds Invest? With Strategic Diversification

whitePaper | April 30, 2022

Sovereign Wealth Funds (SWFs) remain a prominent and diverse group of global asset owners. They represent unencumbered fiscal resources of the host governments, invested under a range of different mandates. In this study, we considered 34 of the largest SWFs, located in 26 different jurisdictions, which as of year-end 2020, have total assets of almost $8.5 trillion, representing 5% of total global markets.2 Between 2018 and 2020, total SWF assets under management (AUM) grew by an annualized 11.3%, as compared to 5.5% over the previous time period (Figure 1). We find that the acceleration in AUM growth is largely a function of market gains due to the post-2018 drawdown in equities. However, we estimate that organic inflows into global SWF holdings are roughly in line with the mid-single digits during the 2014–2018 time period.

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Key tips to safeguard your government department

whitePaper | April 28, 2022

The Wall Street Journal called the hybrid workplace a “Cybersecurity Nightmare,” and characterized it as “a hacker’s dream—a constantly changing mix of office and remote workers, devices that move in and out of the company networks, and security staffs stretched thin.” The Wall Street Journal also briefly called out how organizations gain control over this environment – with strong identity-centric security and zero trust.

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FEDERAL HEALTH INFORMATION TECHNOLOGY RESEARCH & DEVELOPMENT STRATEGIC FRAMEWORK

whitePaper | March 25, 2020

The National Science and Technology Council (NSTC) is the principal means by which the Executive Branch coordinates science and technology policy across the diverse entities that make up the Federal research and development enterprise. A primary objective of the NSTC is to ensure that science and technology policy decisions and programs are consistent with the President’s stated goals. The NSTC prepares research and development strategies that are coordinated across Federal agencies aimed at accomplishing multiple national goals.

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Spotlight

City of Memphis

Memphis is more than the home of the blues and the birthplace of rock n’ roll: It’s a great place to build your career as you work for the city you know and love! Over 8,000 city employees are doing their part to make Memphis a model city for the 21st century.

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