Agile Fusion Cells for COVID-19 Payment Integrity

By Gordon Milbourn, III , Ted Sienknecht
The volume of funding and varying payment mechanisms to counter the COVID-19 pandemic present significant payment integrity challenges. Government agencies can take strong actions to prevent fraud, waste, and abuse with a proven model: agile fusion cells.

Download Resources

As of April 2020, the U.S. Congress and the Trump Administration have authorized nearly $3 trillion in new money to counter the human and economic cost of the Coronavirus pandemic. The funds provide support for a wide array of needs ranging from healthcare to individual benefits programs, to state, local, and tribal responses to infrastructure and workforce-related programs.

The combination of the volume of funding, the wide array of uses, and the varying payment mechanisms present significant payment integrity challenges.

Government agencies must take strong actions to prevent this fraud, waste, and abuse—moving "left of check"—detecting improper payments before the funds are disbursed. The Coronavirus Aid, Relief and Economic Security (CARES) Act establishes the Pandemic Response Accountability Committee (PRAC) to provide enhanced Inspector General oversight of the funds.

Both agencies and the PRAC can take advantage of a proven model—agile fusion cells—to fulfill their payment integrity roles.