Debuting at AHIP Institute 2008: McKesson Fraud & Abuse Detection and Prediction Tool

Healthcare fraud and abuse far outstrips credit card fraud and identity theft in the United States. The Blue Cross Blue Shield Association in a 2004 news conference estimated that $85 billion was lost to health insurance fraud that year. The sophisticated analytics of InvestiClaim will enable customers to detect problems early and save healthcare benefit dollars, creating a competitive edge in winning new business.

McKesson has partnered with Fair Isaac Corporation to deliver this new solution. Fair Isaac’s industry leading predictive analytics and decision-making technology combined with McKesson’s claims and clinical expertise brings the market a solution that can identify problematic claims before payment.

“The combination of clinical alerts plus advanced analytics adds significant value to our customers’ claims management initiatives,” said Carolyn Wukitch, senior vice president of McKesson Health Solutions. “InvestiClaim provides a higher level of specificity in identification, plus greater flexibility and improved effectiveness in the management of fraud and abuse. The end result is improved loss ratios and, ultimately, better control of healthcare costs.”

InvestiClaim automates much of the detection and analysis process to help insurers quickly cut through high volumes of claims data. Online reports return specific results of claims analyses, not just configured data reports. Complete with investigation case management tools, InvestiClaim enables health plans to streamline and automate the administrative tasks associated with conducting and managing investigations.

About McKesson Corporation

McKesson Corporation, currently ranked 18th on the FORTUNE 500, is a healthcare services and healthcare information technology company dedicated to helping its customers deliver high-quality healthcare by reducing costs, streamlining processes, and improving the quality and safety of patient care. McKesson is the longest-operating company in healthcare today, marking its 175^th anniversary this year. Over the course of its history, McKesson has grown by providing pharmaceutical and medical-surgical supply management across the spectrum of care; healthcare information technology for hospitals, physicians, homecare and payors; hospital and retail pharmacy automation; and services for manufacturers and payors designed to improve outcomes for patients. For more information, visit http://www.mckesson.com.