Tarleton receives grant from BCBSTX to study fraud in health care claims

BCBSTX Check Presentation

BCBSTX Check Presentation

FOR IMMEDIATE RELEASE
Friday, March 1, 2019

STEPHENVILLE, Texas – Tarleton State University today announced a collaboration with Blue Cross and Blue Shield of Texas to launch a research project around fraud detection in health care claims.

The project, subject to Tarleton and BCBSTX entering into a final agreement, is part of efforts by BCBSTX to advance academic research to address the critical issues created by gaps and fragmentation that lead to a high-cost health care system.

With a $1 million grant from BCBSTX, researchers in Tarleton’s Analytics Institute will study health care claims and develop novel methods to identify fraud using specialized systems and software.

“This public-private partnership brings value to Blue Cross and Blue Shield of Texas and to Tarleton,” said Dr. Barry Lambert, associate vice president of research and innovation.” Our students and researchers will provide expertise while gaining valuable experience and developing real-world solutions to reduce fraud and lower health care costs for Texans.”

In addition to this project, BCBSTX is working with 10 other research institutions across the state to study a range of health care challenges, from behavioral health to improving vaccine adherence to expanding access to education for medical professionals. The projects will support the company’s objectives of addressing the root causes of an expensive health care system.

“Failure to address access and affordability of health care has real consequences. We need to challenge the status quo by bringing transformative research and ideas to the table,” said BCBSTX President Dan McCoy. “By collaborating with a diverse set of institutions and researchers who are embedded in and understand the communities we serve, we can better identify and develop solutions that tackle the high cost of health care at its foundation.”

Dr. McCoy presented the $1 million grant to Tarleton at the university’s annual gala earlier this month.

Projects at all 11 institutions are part of BCBSTX’s Affordability Cures SM endeavor and support initiatives in Texas and Illinois that help improve quality and coordination of care delivery, balance inequities and eliminate waste in the system.

Other participating institutions are Baylor College of Medicine, McGovern Medical School at UTHealth in Houston, Rice University, Texas Tech University, University of Texas at Austin, University of Texas Dell Medical School, University of Texas Health Science Center at Tyler, University of Texas MD Anderson, University of Texas at Tyler and UT Southwestern Medical Center.

About Tarleton State University

Tarleton, founding member of The Texas A&M University System, provides a student-focused, value-driven education marked by academic innovation and a dedication to transform today’s scholars into tomorrow’s leaders. It offers degree programs to more than 13,000 students at Stephenville, Fort Worth, Waco, Midlothian, RELLIS Academic Alliance in Bryan, and online, emphasizing real-world learning experiences that address societal needs while maintaining its core values of tradition, integrity, civility, excellence, leadership and service.

About Blue Cross and Blue Shield of Texas

Blue Cross and Blue Shield of Texas(BCBSTX) – the only statewide, customer-owned health insurer in Texas – is the largest provider of health benefits in the state, working with nearly 80,000 physicians and healthcare practitioners, and 500 hospitals to serve 5 million members in all 254 counties. BCBSTX is a Division of Health Care Service Corporation (which operates Blue Cross and Blue Shield plans in Texas, Illinois, Montana, Oklahoma and New Mexico), the country’s largest customer-owned health insurer and fourth largest health insurer overall. Health Care Service Corporation is a Mutual Legal Reserve Company and an Independent Licensee of the Blue Cross and Blue Shield Association.

Contact: Dr. Barry Lambert, Associate Vice President of Research and Innovation
254-968-9463
blambert@tarleton.edu

A founding member of The Texas A&M System, Tarleton State University is breaking records — in enrollment, research, scholarship, athletics, philanthropy and engagement — while transforming the lives of approximately 18,000 students in Stephenville, Fort Worth, Waco, Bryan and online. For 125 years, Tarleton State has been committed to accessible higher education opportunities for all while helping students grow academically, socially and professionally through programs that emphasize real world learning and address regional, state and national needs.
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Tags: Academic Affairs, Administration, College of Graduate Studies, Division of Research, Innovation and Economic Development