HFPP: About the Partnership

About the Partnership

The Healthcare Fraud Prevention Partnership (HFPP) is a voluntary public-private partnership that helps detect and prevent healthcare fraud through data and information sharing. Partners include federal government, state agencies, law enforcement, private health insurance plans, and healthcare anti-fraud associations. The HFPP’s goals are to deliver:

Insight

HFPP provides Partners with broader visibility into the universe of payments beyond those issued by a single payer

Innovation

Partners work with healthcare fraud experts to identify emerging threats and leverage their collective experiences to shape the future of HFPP

Impact

HFPP studies give Partners ways to take substantive actions that stop fraudulent and improper payments and reduce patient harm

The HFPP helps Partners identify and reduce fraud, waste, and abuse across the healthcare sector through collaboration, data and information sharing, and cross-payer research studies.

Collaboration to Combat Fraud

The HFPP’s primary objective is to help Partners move from a reactive approach to a preventative approach to identify and address fraud by generating comprehensive strategies that each Partner can use to combat healthcare fraud, waste, and abuse.

• Unparalleled Data Source: The HFPP represents the full spectrum of healthcare payers and anti-fraud associations, which enables data, information sharing, and sophisticated data analytics against a unique cross-payer data set.
• Collaboration & Strategic Partnerships: Through a variety of HFPP events, Partners leverage their collective experiences to meaningfully participate and guide the Partnership.

History and Growth

Public and private sector organizations have long recognized the need for coordination, data, and information-sharing to combat health care fraud. In 2012, the HFPP was formed as a public-private partnership consisting of 21 Partners. Since its inception, the importance and value of the HFPP’s mission has driven significant growth in its membership.

Today, the HFPP has a broad membership comprised of 310 Partners, making it uniquely positioned to examine emerging trends and develop key recommendations and strategies to address them.

The HFPP first began with professional claim types only, then expanded in 2019 to include institutional claims. In 2021, pharmacy claims were added for more comprehensive analytic insights.

Starting initially with original claims data, the Partnership is now conducting its analysis against adjusted claims to detect industry-wide fraud schemes more precisely.

Become a Partner

Are you interested in joining the Partnership? Learn more about the benefits of the HFPP and how to become a Partner.