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How AI can Detect and Prevent Fraud, Waste and Abuse

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Technology can be key to help us adapt to massive changes that occur during public health emergencies. The current pandemic has unfortunately created new vulnerabilities for potential abuse of funds intended to provide care to vulnerable populations.

Join us in a discussion on how artificial intelligence and machine learning is being used to respond to the rapidly changing healthcare environment.

Featured speakers include:

  • Dr. David Shulkin (moderator), Ninth U.S. Secretary of Veterans Affairs
  • Erick Zenteno, Program Manager, Fraud Prevention Services, U.S. Department of Veterans Affairs
  • Karen Painter, Program Director, CMS Program Integrity Modeling and Analysis, GDIT

Webinar date and time: Wednesday, May 5, 2021, 12-1 p.m. ET
Register

Speaker Bios

The Honorable Dr. David J. Shulkin was the ninth Secretary of the US Department of Veterans Affairs in the Trump Administration and VA’s Under Secretary of Health in the Obama Administration. As such, Secretary Shulkin was the only member of the Cabinet to have served both Presidents and to have been confirmed by the US Senate by a vote of 100-0.

As Secretary, Dr. Shulkin represented the 21 million American veterans and was responsible for the nation’s largest integrated health care system with over 1,200 sites of care, serving over 9 million Veterans. VA is also the nation’s largest provider of graduate medical education and major contributor of medical research and provides veterans with disability payments, education through the GI bill, home loans, and runs a national cemetery system.

Secretary Shulkin is a widely respected healthcare executive having served as chief executive of leading hospitals and health systems including Beth Israel in New York City, Morristown Medical Center in Northern NJ, and currently advises leading health systems. Secretary Shulkin has held numerous physician leadership roles including the Chief Medical Officer of the University of Pennsylvania Health System, the Hospital of the University of Pennsylvania, Temple University Hospital, and the Medical College of Pennsylvania Hospital. Secretary Shulkin has held academic positions including the Chairman of Medicine and Vice Dean at Drexel University School of Medicine. As an entrepreneur, he founded and served as the Chairman and CEO of DoctorQuality one of the first consumer orientated sources of information for quality and safety in healthcare. Secretary Shulkin has served on boards of managed care companies, technology companies, and health care organizations.

Secretary Shulkin is a board-certified internist. He received his medical degree from the Medical College of Pennsylvania, his internship at Yale University School of Medicine, and a residency and Fellowship in General Medicine at the University of Pittsburgh Presbyterian Medical Center. He received advanced training in outcomes research and economics as a Robert Wood Johnson Foundation Clinical Scholar at the University of Pennsylvania.

Over his career Secretary Shulkin has been named “One Hundred Most Influential People in American Healthcare” by Modern Healthcare. He continues to advocate on behalf of the country’s veterans by serving on the board of numerous nonprofits that serve veterans and is the author of the recent book, “It Shouldn’t Be This Hard to Serve Your Country: Our Broken Government and the Plight of Veterans”.

Follow @DavidShulkin


Erick Zenteno has been working in different military and government roles for over 14 years. He is currently spearheading the Department of Veterans Affairs Fraud Prevention Services Program acquisition efforts to seek fraud prevention services that address fraud and investigation needs. The Department of Veterans Affairs has a significant coverage gap in protecting the total $110B+ in annual benefits pool. Erick is responsible for avoiding improper payments and initiatives to improve business processes and systems to implement data analytics capabilities to address fraud, waste, and abuse. He served honorably in the United States Marine Corps for four years and holds a Bachelor of Fine Arts with a minor in Business Administration from Chapman University and currently working on his MBA from Virginia Tech University.


Karen Painter has supported CMS Program Integrity efforts for over 18 years and currently leads several program integrity contracts for GDIT. Karen leads a group of data analysts, statisticians, clinicians, and programmers all dedicated to protecting the Medicare and Medicaid programs through data analytics. She leads a team of passionate and innovative professionals bringing advanced analytics, machine learning, and high-quality services to the customer.