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This IDC Health Insights report discusses best practices for U.S. payer fraud, waste, and abuse (FWA) solutions. Investment in these solutions is rising dramatically in 2014–2015, and this report addresses questions that payers have about how to select and use these solutions. Based on extensive structured interviews with current users and supplemented by interviews and other data from FWA solution vendors, IDC Health Insights provides insight into key selection criteria and performance metrics, governance and management practices, the industry drivers and outlook, and guidance for business and IT leaders.
"Almost every payer we surveyed this year anticipates investing in FWA solutions, but they need to make those investments count for their organizations," says Sven Lohse, research manager at IDC Health Insights. "The reform-driven disruptions of the market and the changing complexion of evolving threats make their decisions particularly necessary and difficult." For any payer IT or business leader that wants to take full advantage of FWA solutions, this research offers clear guidance based on peer experience.