Experts: Better Tech May Be Driving More Fraud Detection

May 27

OptumRx, the PBM subsidiary of UnitedHealth Group, claims that pharmacy waste, fraud and abuse increased in 2020 due to the pandemic — and that independent pharmacies are to blame. While experts won’t rule that out, they also observe that new fraud detection technology might have more to do with the eye-popping findings than any perceived shortcomings of independent pharmacies.

OptumRx tells AIS Health, a subsidiary of MMIT, that pharmacy waste, fraud and abuse increased during 2020.

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Radar on Drug Benefits

Peter Johnson

Peter has been a reporter for nearly a decade. Before joining AIS Health, Peter covered a wide variety of topics in his hometown of Seattle, where he continues to live. Peter’s work has appeared in publications including The Atlantic and The Stranger. Peter attended Colby College.

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Experts: Better Tech May Be Driving More Fraud Detection

Peter Johnson

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Meet Our Reporters

Lauren Flynn Kelly Executive Editor, AIS Health, and Managing Editor, Radar on Medicare Advantage

Angela Maas Managing Editor, Radar on Specialty Pharmacy and Spotlight on Market Access

Leslie Small Managing Editor, Health Plan Weekly and Radar on Drug Benefits

Peter Johnson Reporter, Health Plan Weekly and Radar on Drug Benefits

Tim Casey Reporter, Health Plan Weekly and Radar on Drug Benefits

Carina Belles Reporter, Radar on Medicare Advantage and Spotlight on Market Access

Jinghong Chen Reporter, Health Plan Weekly and Radar on Drug Benefits

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