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Fraud, Waste and Abuse

Millions of dollars are lost to fraud, waste and abuse (FWA) each year, putting plan performance and stakeholder satisfaction at risk. SKYGEN helps payers reduce the risk of FWA with AI analytics that identify outliers within your network. Armed with data on providers who are over- or under-treating patients, you’ll have the option to educate them on better practices and appropriate care rules.

SKYGEN’s analytics also identify high-performing providers, enabling you to reward them with higher levels of referral and or reimbursement. Together, we can reduce the risk of FWA and improve network performance and program outcomes.

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