CMS Modernization: Data Management is Key to Preventing Fraud, Waste and Abuse

Fraud, waste and abuse of the Medicare system have always been challenging to get under control. Those who exploit federal health care programs can cost taxpayers billions of dollars, according to a Centers for Medicare and Medicaid Services report, while putting beneficiaries’ health and welfare at risk.

CMS’s Center for Program Integrity plays a key role in managing this challenge by detecting, preventing and combating fraud, waste and abuse across CMS and other federal health programs. Beyond that, the organization is tasked with strengthening integrity programs, expanding the scope of integrity programs and integrating technological improvements like AI to reduce fraud, waste and abuse, and streamline operations.

In a time when efficiency has become top-of-mind for most federal agencies, optimizing CPI’s ability to catch fraud, waste and abuse will play a major role in the government’s larger push to streamline operations and costs.

 

Ken Hofgesang

Vice President of Health at RELI Group

Ken Hofgesang brings 20+ years of experience in the federal health arena. He holds expertise in account and project management, business development, and executive leadership, focused on cost control, new operation setup, automated solutions, and innovative technology infusion. Prior to joining RELI Group, Ken served as the VP of the HHS account at SAIC. In addition to his extensive experience across the industry, he holds a master’s degree in computer science from Hood College, as well as a bachelor’s degree in computer science from Mount Saint Mary’s College. Ken is a certified Project Management Professional, holds an ITIL Foundation Certificate in IT Service Management, and has earned certificates in both executive and performance leadership from Cornell University. 

RELI Group

Based near Baltimore, Maryland, RELI Group is a trusted partner to federal agencies, delivering innovative solutions that address today’s complex challenges across health, security and technology. Since 2013, the company has been collaborating with agencies throughout the government that touch the lives of every American, with goals of improving health, safety and national security.

RELI Group’s success is driven by skilled professionals who embrace innovation, collaboration and continuous learning to meet client needs. Through structured, efficient processes that enhance organizational performance and ensure consistent outcomes, the team provides cutting-edge technology to optimize operations, enhance security and enable data-driven decision-making for mission-critical operations.