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SmartLight Analytics

Reducing healthcare costs for self-funded employers

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White Papers

As a self-funded employer, you play a vital role in protecting the integrity of your health care program. In this document you will learn about:

  • The problem of FWA facing employers.
  • Differentiating between fraud, waste, and abuse.
  • Federal laws governing health care regulations.
  • What FWA costs your health plan.
  • How to protect your dollars.

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Examining exactly where health care dollars are spent is not just a budget management or cost-saving practice for business, as plan sponsors are reminded often, it is also a fiduciary responsibility under the Employee Retirement Income Security Act (ERISA). 

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The City of Fort Worth, Texas — the 12th largest city in the U.S. and the 5th largest in the state — presents a textbook case study for the pervasiveness of pharmacy fraud hidden in health care claims and the action required to combat the ever-evolving abuse.

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4965 Preston Park Blvd. Suite 350
Plano, TX 75093
Phone: 214-501-1046
Fax: 214-501-1208

About Us

SmartLight Analytics combines the best inferential analytic models with a team of analytic  and clinical experts to find fraud, waste, and abuse in self-funded employer health care plan claims data.
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SmartLight Analytics has been named finalists in D CEO Magazine Excellence in Healthcare Awards 2020 for Outstanding Service Innovation.

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