Health Net Federal Services Honored to Accept TRICARE’s “Contractor of the Year” Award for Anti-Fraud Efforts
– Recognition Includes “Case of the Year” Runner-Up –
SACRAMENTO, Calif. - Health Net Federal Services, LLC, the government operations division of Health Net, Inc. (NYSE:HNT), today announced it was named “Contractor of the Year” and received the Anti-Fraud Performance Award for 2007-2008 at the annual TRICARE National Health Care Anti-Fraud Conference currently being held in Nashville, Tenn. Health Net is a contractor for TRICARE, the United States Department of Defense (DoD) health care benefit program.
This award is the highest recognition that the TRICARE Management Activity (TMA) Program Integrity awards to recognize TRICARE Program Integrity Departments that exemplify a strong commitment to the prevention, detection and deterrence of fraud and abuse in the TRICARE Program. This is the first time Health Net Federal Services Program Integrity Department has been the recipient of this award. In addition, Health Net Federal Services was awarded runner-up for “Case of the Year” in which Health Net’s investigations led to the arrest and capture of a Maryland provider who redirected government money to his own private practice through self-referrals.
“We are honored our Program Integrity Department has been recognized for its tremendous efforts to prevent, detect and deter fraud and abuse,” said Steve Tough, president, Health Net Federal Services. “Partnering with TRICARE’s Program Integrity Department is a privilege, and together we’ve proved to be a great team.”
“Health Net’s Program Integrity Unit tackled several challenges head-on these last two years and used these challenges as opportunities to increase the quality and quantity of its case referrals,” said Rose Sabo, director, TRICARE Program Integrity. Sabo added, “Specifically, Health Net is being recognized for refining its case prioritization and reporting process, emphasizing proactive case identification through daily data mining, increasing its quality control measures within the audit process, and enhancing its ability to investigate foreign claims.”
The 2009 TRICARE Health Care Anti-Fraud Conference is being held at the Gaylord Opryland Convention Center in Nashville, Tenn., from April 29 to May 1, 2009. The TMA Program Integrity hosts this Health Care Anti-Fraud Conference to promote and encourage information sharing/training with key representatives in DoD; other federal and state health care programs; federal, state and local investigative services; and government-contracted commercial health care carriers.
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