Agile Fusion Cells for COVID-19 Payment Integrity

May 2020
Topics: Payment Integrity, Fraud, Federal Government Services, Government Agency Operations, Disease Outbreaks
Gordon C. Milbourn III, The MITRE Corporation
Ted Sienknecht, The MITRE Corporation
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As of April 2020, the U.S. Congress and the Trump Administration have authorized nearly $3 trillion in new money to counter the human and economic cost of the Coronavirus pandemic. The funds provide support for a wide array of needs ranging from healthcare to individual benefits programs, to state, local, and tribal responses to infrastructure and workforce-related programs.

The combination of the volume of funding, the wide array of uses, and the varying payment mechanisms present significant payment integrity challenges.

Government agencies must take strong actions to prevent this fraud, waste, and abuse—moving "left of check"—detecting improper payments before the funds are disbursed. The Coronavirus Aid, Relief and Economic Security (CARES) Act establishes the Pandemic Response Accountability Committee (PRAC) to provide enhanced Inspector General oversight of the funds.

Both agencies and the PRAC can take advantage of a proven model—agile fusion cells—to fulfill their payment integrity roles.

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