ENSURING PROGRAM INTEGRITY IN BENEFIT SYSTEMS

摘要

A method of ensuring program integrity in a benefit system includes accessing sets of data from two or more data sources. Data from at least one of the data sources relates to eligibility of a recipient to receive a benefit under a government program. Electronic data matching is performed using the data sources. The data sources used for the electronic data matching includes one or more government data sources and may include one or more commercial data sources. Results from the electronic data matching using two or more of the data sources are displayed in a consolidated view. Based on the electronic data matching, assessments are made relating to eligibility of the recipient. Based on the eligibility assessments, one or more recommendations are made regarding eligibility of the recipient.

主权项

1. A method of ensuring program integrity in a benefit system, comprising:
accessing, from two or more data sources, a plurality of sets of data, wherein the data from at least one of the data sources relates to eligibility of at least one recipient to receive a benefit under a government program; performing, electronic data matching using at least two of the data sources, wherein at least one of the data sources used for the data matching is a government data source; making, by an eligibility review module in communication with the data broker module, based at least in part on the electronic data matching, one or more assessments relating to eligibility of the at least one recipient, generating, by the eligibility review module, based at least in part on at least one of the eligibility determinations, one or more recommendations on eligibility for the at least one recipient; and displaying, in a consolidated view, results from the electronic data matching using two or more of the data sources.