HFPP 60_day PRA comment and response

Commenter
America’s
Health
Insurance
Plans

Comment Summary
CMS Response
America’s Health Insurance Plans (AHIP), a
The HFPP and its committees will design,
founding member of the Healthcare Fraud Prevention
develop, and manage studies in coordination
Partnership (HFPP) expressed its support of the
with a Trusted Third Party to collect and
HFPP efforts and the goal to identify the optimal way
consolidate partner (both public and private)
to coordinate nationwide sharing of health care
study-related data in order to share information
claims information to identify and prevent fraud,
among the HFPP pertaining to the analytical
waste, and abuse and its commitment to helping the
tools and techniques; study analysis; successful
HFPP realize the great potential of enhanced
anti-fraud practices, trends and vulnerabilities;
cooperation between the public and private sectors in
and reports that maintain the confidentiality of
finding and fighting health care fraud. AHIP
its source data. AHIP’s comments expressed
commented on the benefits to the public for the
its support for the HFPP information collection
HFPP to be able to collect and share data and
request and the studies targeting specific
information across a larger group of payers in a
vulnerabilities within the payment systems in
timely and effective fashion. More specifically,
both the public and private sectors. CMS
AHIP recognized the deterrence effect that will
appreciates AHIP’s interests in the information
increase as those, who would commit fraud realize
collection and its commitment, as a partner,
their misconduct will be exposed by the HFPP data
toward achieving the HFPP goals. CMS has
and information sharing and the effectiveness,
reviewed and considered AHIP’s positive
nimbleness, and efficiency of distributed data models
feedback, comments and suggestions and will
to the HFPP work.
continue to address this perspective moving
forward with the implementation of the HFPP
and the HFPP Trusted Third Party.