NAMPI Participation with the HFPP

by Kelly Bennett, NAMPI President

At the Annual NAMPI Meeting – at our conference in Baltimore, we (the membership) agreed to go
ahead and have NAMPI (the association) accept the invitation to take a position on the Executive Board
for the Healthcare Fraud Prevention Partnership (HFPP). I have now been to two meetings of the
Executive Board (via Zoom) and remain hopeful that NAMPI’s participation can help push the needle a
little in the right direction. It has taken getting used to the style of the organization’s business processes
and, thus far, I don’t think there has been a tremendous opportunity to make an impact on the
substance of the alerts and studies.
The first meeting was mainly to revise the HFPP mission statement and gather feedback from the
members of the Executive Board about the HFPP, generally. The second meeting was focused on the
strategic planning for the HFPP – this was interesting to be a part of (discussion about future process
improvements but more from the perspective of a timeline and how the assessment and revision
process would work). Substantively, during this second meeting, there was a discussion about starting
to ingest more dental data (this was more for the commercial plans because I presume state Medicaid
programs are all already giving the feds our dental data, so the HFPP is getting it). I was a bit leaning
toward trying to emphasize that we support analysis of all data, I am not sure that dental would be the
highest priority for us in the Medicaid space, but I think it’s fair to say that I would need input from all of
you.
I am purposely keeping this article short and sweet in the hopes that you will jump into the state-only
forum (if you are a state PI Leader or someone your leadership would want to have weighed in on behalf of
your state) and comment about topics you wish the HFPP would give higher priority. I will do my best to
insert our collective perspective on this in these Board meetings.