Optimized Risk Screening for Medicare and Medicaid Program Integrity

State Health and Human Services agencies face increasing pressure in management of Medicare, Medicaid and other healthcare programs. From determining and monitoring income conditions for benefits eligibility, to ensuring legitimacy of expenses and payments, those administering healthcare funds need to make accurate decisions at scale. In doing so, they strive to ensure trust in their decision-making, but compromises can mar their ability to truly understand who or what to trust.

This persistent tension between the speed at which a decision can be made and the rigor required to eliminate threats to an organization’s ecosystem, is further complicated by high caseloads, staff shortages, and fragmented data systems. This ultimately leads to delays, inconsistent outcomes, payment error rates above acceptable thresholds, and diverting or reducing dollars that could otherwise be spent to safeguard the health and welfare of program enrollees.

Clearspeed’s technology is purpose built to solve for the tension between speed and accuracy. Our one-to-one, in-the-moment assessment of trust unlocks a new way to understand potential risk in real-time. Clearspeed provides a unique measure of human risk that enables better, faster decision- making, and remedies the tradeoff between speed and security.

Field-validated and scientifically-backed, our voice-based risk assessment analyzes the responses to a short set of customized and automated yes/no questions for universal vocal characteristics known to be associated with risk. This delivers a point-in-time, individualized trust assessment for each participant. Trusted individuals and transactions can be fast-tracked with confidence, while potential risks trigger additional scrutiny.

Clearspeed’s technology requires no additional data beyond the voice response. It is also language-, dialect-, and accent-agnostic, allowing for easy use across diverse populations. Clearspeed is a proven precision risk detection technology, deployed in commercial, defense, and intelligence communities across 37 countries and 60+ languages.