Expert Insight: The Billion Dollar Blind Spot

May 15, 2026 | Tags: Fraud, Waste and Abuse

The Billion Dollar Blind Spot: Reducing PERM Errors Using Prepayment Precision in the Wake of H.R.1 Medicaid Oversight Reform

Constellation Quality Health’s Director of Payment Integrity Robyn Winters, RN, QP, BSA, AHFI provides her insight into how states can transition from reactive “pay-and-chase” audits to a proactive prepayment review model. She explores how using data analytics to catch errors before disbursement helps states meet the PERM threshold mandated by H.R. 1 while safeguarding critical federal funding.

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Fraud, Waste and Abuse

15

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Expert Insight: The Billion Dollar Blind Spot

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