All about the CMS Center for Program Integrity: Interview with Dr. Shantanu Agrawal

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ON THIS WEEK’S SHOW: What are the key priorities for CMS’s Center for Program Integrity? How is it moving beyond the “pay and chase” approach to combating fraud, waste, and abuse? What innovative technologies is it using? Join host Michael Keegan as he explores these questions and more with Dr. Shantanu Agrawal, Deputy Administrator & Director, Center for Program Integrity, Centers for Medicare and Medicaid Services.

GUEST BIOGRAPHY:

(courtesy of the IBM Center for the Business of Government)

Shantanu Agrawal is a Board-certified Emergency Medicine physician and Fellow of the American Academy of Emergency Medicine. He is currently serving as Deputy Administrator for Program Integrity and Director of the Center for Program Integrity. His focus is to improve healthcare value by lowering the cost of care through the detection and prevention of waste, abuse, and fraud in the Medicare and Medicaid programs. Prior to this role, Dr. Agrawal served as Chief Medical Officer of the Center for Program Integrity, where he helped to launch new initiatives in data transparency and analytics, utilization management, assessment of novel payment models, and a major public-private partnership between CMS and private payers. Prior to joining CMS, Dr. Agrawal was a management consultant at McKinsey & Company, serving senior management of hospitals, health systems, and biotech and pharmaceutical companies on projects to improve the quality and efficiency of healthcare delivery. Dr. Agrawal has also worked for a full-risk, capitated delivery system as the head of clinical innovation and efficiency. He has published articles in JAMA, New England Journal of Medicine, Annals of Emergency Medicine, among others, and has given national presentations on health care policy and the cost of care. Dr. Agrawal completed his undergraduate education at Brown University, medical education at Cornell University Medical College, and clinical training at the Hospital of the University of Pennsylvania. He also has a Masters degree in Social and Political Sciences from Cambridge University. Dr. Agrawal has continued to work clinically both in academic and community settings and holds an academic position in Washington DC.

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