James G. Sheehan

The Next Phase in Medicaid Program Integrity

Rockefeller Institute Forum, June 8, 2009

New York State Medicaid Inspector General James G. Sheehan discussed the opportunities for improving the government-sponsored health program through mining data now gathered at state and federal levels. Examining such data provides more chances to detect financial fraud and abuse in the Medicaid system — thereby cutting costs — as well as opportunities to improve medical results for patients, he said. New York’s integrated system of Medicaid data is the best in the nation, and could act as a model for those in the federal government and other states, Sheehan suggested.

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