Agile Fusion Cells for Covid-19 Payment Integrity
[Technical Report, Technical Note]
The Mitre Corporation
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As of April 2020, the U.S. Congress and the Trump Administration have authorized nearly 3 trillion in new money to counter the human and economic cost of the Coronavirus pandemic. The funds provide support for a wide array of needs ranging from healthcare, to individual benefits programs, to state local government and tribal responses, to infrastructure and workforce-related programs. The combination of the volume of funding, the wide array of uses, and the varying payment mechanisms present significant payment integrity challenges. Conventional wisdom says that 7 of government spending is subject to fraud, waste and abuse, which if applied to the 3 trillion figure, means potentially more than 210 billion will be paid out in error or to fraudsters. This would be unacceptable to the American taxpayer. Government agencies must take strong actions to prevent this fraud, waste and abuse - moving left of check - as shown in Figure 1. While the Coronavirus Aid, Relief and Economic Security CARES Act establishes the Pandemic Response Accountability Committee PRAC to provide enhanced Inspector General community oversight, agencies are nevertheless responsible for the integrity of payments they make. Both agencies and the PRAC can take advantage of a proven model - agile fusion cells - to fulfill their payment integrity roles. Agile fusion cells are a powerful approach for collaborative, agile, and rapid detection and prevention of negative events.
- Economics and Cost Analysis
- Administration and Management