• California Medi-Cal Fraud Award – from Oncore to First Data to Oncore: The Bizzare World of State Procurement

    June 16th, 2017 by admin Categories: Blogs Tags: , , , , , , ,
    California Medi-Cal Fraud Award – from Oncore to First Data to Oncore: The Bizzare World of State Procurement

    In one of the more curious procurements in recent history Oncore Consulting with Pondera and Lexis-Nexis has won the Medi-Cal Program Integrity Data Analytics (MPIDA) bid to aggressively pursue Medi-Cal fraud in California. It’s the second time the state issued an Intent to Award to […]

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    California Medi-Cal Fraud Analytics Bid and Procurement Reform – Case Study II

    November 23rd, 2016 by admin Categories: Blogs Tags: , , , , , , ,
    California Medi-Cal Fraud Analytics Bid and Procurement Reform – Case Study II

    California Medi-Cal Fraud Analytics Bid and Procurement Reform – Case Study I The issue of State of California IT procurement reform has been a steadily recurring theme, since, well…in all probability since there have been IT procurements, in particular where large, complex IT project procurements […]

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    California Medi-Cal Fraud Analytics Bid and Procurement Reform – Case Study I

    November 23rd, 2016 by admin Categories: Blogs Tags: , , , , , , ,
    California Medi-Cal Fraud Analytics Bid and Procurement Reform – Case Study I

    It’s heartening to see that the Calif DHCS has re-released their Request for Proposal (RFP) for its $40 million Medi-Cal Program Integrity Data Analytics II Program and technical proposals are due next week, with cost proposals due next month. California’s Medi-Cal (also known as Medicaid) program provides […]

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    DHCS Cancels Medi-Cal Analytics Bid; Billions in Funds Will Continue to be Lost to Fraud Each Year; Process Questioned

    August 18th, 2016 by admin Categories: Blogs Tags: , , , ,
    DHCS Cancels Medi-Cal Analytics Bid; Billions in Funds Will Continue to be Lost to Fraud Each Year; Process Questioned

    Michele Villados, the assigned DHCS Hearing Officer wrote that inconsistency in the DHCS’s RFP regarding various reference requirements “cannot be reasonably reconciled. Thus, it cannot be determined if the Awardee [OnCore] satisfied the client reference requirement.” It’s early in the process but in my reading […]

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    California Dentist Bills State Medi-Cal for 1,000 services…. in One Day!!!

    May 18th, 2015 by admin Categories: Blogs Tags: , , , ,
    California Dentist Bills State Medi-Cal for 1,000 services…. in One Day!!!

    And the dentist repeated billing for 1,000 services for 100 days in 2012 alone. It took a federal audit to uncover this?? A California dentist who treats children under Medicaid billed for more than 1,000 services a day for almost 100 days in 2012. Another […]

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