August 06, 2022

Detecting Fraud, Waste and Abuse in Substance Use Disorder Treatment

In a coauthored article for Health Services Research, Faegre Drinker Consulting Principal Mike Adelberg describes how improved detection of potentially unethical substance use disorder (SUD) treatment practices is critical to enhancing care quality and limiting unnecessary spending.

Adelberg outlines the role of claims data-based algorithms in unethical SUD treatment detection and potential algorithm inputs, including fraud indicators identified by SUD treatment stakeholders. He also addresses limitations in algorithm-based fraud detection, alternate detection strategies and recommendations for improving fraud detection.

In conclusion, Adelberg explains that ensuring access to reputable, high-quality SUD treatment is necessary to improve outcomes. He further states that improving methods to detect, mitigate and prevent fraud among SUD treatment providers is one key step in the process.

The full article is available for Health Services Research subscribers.

全文

Meet the Authors

Faegre Baker Daniels
Michael S. Adelberg

Principal - Healthcare Providers & Plans Practice Lead - Faegre Drinker Consulting

Related Policy, Advocacy, and Consulting Services

The Faegre Baker Daniels website uses cookies to make your browsing experience as useful as possible. In order to have the full site experience, keep cookies enabled on your web browser. By browsing our site with cookies enabled, you are agreeing to their use. Review Faegre Baker Daniels' cookies information for more details.