FraudCast


Welcome to the Pondera FraudCast, where we post information on fraud trends, lessons learned from client engagements, and observations from our investigators in the field. We hope you’ll check back often to stay current with our efforts to combat fraud, waste, and abuse in large government programs.

Provider Screening and Program Integrity in Medicaid Managed Care

Provider Screening and Program Integrity in Medicaid Managed Care

By Jon Coss, CEO

June 13, 2016

Medicaid expenditures have nearly doubled over the last decade [1] and states have increasingly looked to a capitated reimbursement model…

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Learning from Antivirus Software

Learning from Antivirus Software

By Jon Coss, CEO

May 27, 2016

Almost everyone is familiar with antivirus software. Not everyone is familiar with how it works though. Even fewer have examined…

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Money Obtained Fraudulently is Rarely Used for Good Purposes

Money Obtained Fraudulently is Rarely Used for Good Purposes

By Jon Coss, CEO

May 16, 2016

People often ask me if I think we can make a difference fighting fraud by stopping down-on-their-luck Americans from grabbing…

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The Internet Changes Everything

The Internet Changes Everything

By Jon Coss, CEO

April 22, 2016

Way back in 2006, I read an article in the Harvard Business Review that described how the Internet had changed…

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Binary Nature of Fraud

Binary Nature of Fraud

By Jon Coss, CEO

April 14, 2016

Big data analytics and the predictive engines they spawned give Internet companies a way to monetize the online experience. By…

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SaaS Procurement Recommendations

SaaS Procurement Recommendations

By Jon Coss, CEO

March 24, 2016

This week, my company is responding to an RFP for SaaS fraud detection services. While we are thankful for the…

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The Problem With Knowing What You Know

The Problem With Knowing What You Know

By Jon Coss, CEO

March 10, 2016

I bet you cna’t bvleiee taht you can uesdtannrd waht you are rdnaieg. Unisg the icndeblire pweor of the hmuan…

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New Age of Identity Theft Problems

New Age of Identity Theft Problems

By Jon Coss, CEO

March 2, 2016

Remember back to last year when the IRS announced that cyber thieves stole personal data from 100,000 taxpayers? This sophisticated…

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Implementing a permanent economic stimulus package

Implementing a permanent economic stimulus package

By Jon Coss, CEO

February 29, 2016

In 2009, congress enacted the American Recovery and Reinvestment Act (ARRA), also known as the Stimulus, to bolster the economy…

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Is your organization ready for change?

Is your organization ready for change?

By Jon Coss, CEO

February 20, 2016

By the time we engage with an agency, they are fully convinced that they need to change something: the way…

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