How do you protect a system that provides essential healthcare access to millions of Americans from increasingly sophisticated fraud?
In the latest episode of the Serco Tech and Innovation Podcast, we sit down with David Cummins, Serco's Senior Vice President of Citizen Services and a newly appointed member of Virginia's Health Exchange Advisory Committee. David shares a fascinating look at the decade-long journey of supporting the ACA Marketplace, from its early days of manual processing to today's AI-driven operation that handles six times the volume with a fraction of the staff.
The conversation explores how Serco has become a vital partner to the government, balancing the dual mission of expanding access to healthcare while protecting taxpayer dollars. David discusses the evolution of fraud, from forged documents to complex "ghost account" schemes orchestrated by bogus brokers. He explains how Serco leverages a combination of advanced technology and experienced employees to safeguard the system.
Show Notes:- Learn more about Serco's work in case management, workforce development services, and partnering with our government customers to deliver important citizen services