A team of forensic experts are trying to stanch the flow of prescription drugs into the black market.
Edited from flickr/grump puddin
One company, Express Scripts
, sits at an interesting spot within the nation's health care system, right between pharmacies and health care plans. That means they see 1.4 billion prescriptions a year, each one of which generates adds a little more data to their pile. They now have 100 people sorting through that information trying to detect fraud. They've got nurses and pharmacists and forensic accountants, along with a group of data nerds investigating thousands of cases of shady dealings a year.
Express Scripts is going to continue improving their tools, which obviously save them a lot of money. What they're rolling out next are predictive models that might tip them off early that a particular pharmacy or doctor had a high-risk profile for fraud. More From The Atlantic