Ricky D. Sluder, Certified Fraud Examiner, is a Principal Solution Architect in the Security Intelligence Practice at SAS. He has ~20 years of investigative experience in white collar crime, Medicare and Medicaid fraud, waste and abuse. In 2012, five major cases identified under his investigative/data analytic operational model resulted in DOJ criminal prosecutions exceeding $846 million in fraud.
A hot button issue this election season was the need to determine the eligibility of people for various government programs like the Affordable Care Act (ACA), Medicare and Medicaid, or entry into the United States as a migrant refugee. “Look, we’re facing the worst refugee crisis since the end of
To prepare for the data challenges of 2015 and beyond, health care fraud, waste and abuse investigative units (government funded and commercial insurance plans, alike) need a data management infrastructure that provides access to data across programs, products and channels. This goes well beyond sorting and filtering small sets of
According to Time Magazine, the next Ebola outbreak will cost the World Bank in excess of $30 billion dollars. In 2014, America spent in excess of $1.16 million dollars to treat two victims of the dreaded disease. While Ebola and other microorganisms of the deadly variety are scary creatures there
On a cold and wet December morning in 2008, at approximately 1:30 AM, I pulled into the parking lot of an abandoned supermarket in Arlington, TX. With sleet pelleting my windshield, I saw three additional sets of headlights enter into the parking lot from different directions. All three cars converged
