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Forum Session Announcement - Prevention and Early Detection of Health Care Fraud, Abuse, and Waste F O R U M S E S S I O NPrevention and Early Detection of Health Care Fraud, Abuse, and Waste A N N O U N C E M E N T A DISCUSSION FEATURING: Kimberly Brandt Director Program Integrity Group Centers for Medicare & Medicaid Services U. [...] health care system is "full of waste and abuse" and that his preferred health reform ap- proach would eliminate "hundreds of billions of dollars in waste and fraud."1 While the dollar amounts lost to fraud, abuse, and waste are not known for sure, the National Health Care Anti-Fraud As- sociation "estimates conservatively that 3% of all health care spend- ing-or $68 billion-is lost to health care. [...] The ex- tent to which significant program savings are achievable depends on the effectiveness of the tools used to detect fraud and abuse. [...] KEY QUESTIONS • What factors contribute to the prevalence of fraud, waste, and abuse in health care, and in Medicare in particular? Are there char- acteristics unique to Medicare's payment practices or beneficiaries that make the program vulnerable? • What is Medicare doing to prevent fraud and abuse and to mini- mize waste? How successful have these efforts been? • What are most effective anti-fr. [...] Arias will discuss common health care fraud schemes, the reasons he believes health care fraud is relatively easy to commit, and what actions Medicare and private insurers could take to better prevent and detect fraud.