Download the Medicaid Innovations Forum Presentation

Conference Presentation: Using Identity Management and
Predictive Analytics to Prevent Fraud and Improve Provider
and Member Management


Thank you for your interest in the presentation materials , Using Identity Management and Predictive Analytics to Prevent Fraud and Improve Provider and Member Management. This presentation was given by Kathy Mosbaugh, Director, Health Care on February 6, 2013 at the Medicaid Innovations Forum. Insights from this presentation include:

img_dotArrow_trimmed  Examples of how identity management in health care can eliminate the
         “Pay and Chase” status quo.
img_dotArrow_trimmed  An Approach to Comprehensive Provider Management that begins with
         knowing your providers.
img_dotArrow_trimmed  Integration of Social Network Analytics to identify relationship clusters
         leveraging “big data” and advanced linking to reveal criminal network relationships.

About the Speaker
Kathy Mosbaugh is Director of State Government Health Care for LexisNexis® Health Care Solutions. In her current role, Ms. Mosbaugh works with government health care agencies to identify opportunities where information-rich analytic tools can be leveraged to address the key challenges of Health Information Exchange, Fraud, Waste and Abuse and Identity Management. Prior to her current role, Ms. Mosbaugh held several positions within Reed Elsevier’s Clinical Decision Support division. During her tenure, she led several initiatives involving chronic disease management, medication reconciliation, quality measurement (pay-for-performance) reporting, and health data standards.

Ms. Mosbaugh holds a MPH from University of South Florida.




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