Fraud in Government Programs
In 2011, 41% of Americans were enrolled in one or more government assistance programs. The cost of these programs totaled $2.4 trillion and represented 8.4% of our GDP. Spending on these programs has increased faster than any other category of government outlays, increasing 300% in the past 25 years.
To help administer these programs, government organizations spend approximately $50 billion annually on Information Technology (IT). This represents approximately 40% of Government’s overall IT spending and the dollars are used for projects such as Medicaid claims processing systems, Unemployment Insurance call centers, and State Automated Child Welfare Information Systems (SACWIS).
To date, the vast majority of IT funds have been spent on improving transaction processing, automating eligibility rules, web enabling services, and other program delivery enhancements. Very little has been spent on ensuring the integrity of the payments. The result is that most large programs ‘improperly’ distribute up to 20% of their funds. This represents over $200 billion annually in funds distributed to "bad actors" who are not entitled to them.
In response to this problem, the governments are implementing Program Integrity Units. These units are tasked with identifying improper payments and fraud, collecting these improper payments and implementing preventive measures.
Pondera FDaaS Solution
Pondera is a certified Google partner with a singular focus:
We leverage Google’s massive computing power and advanced analytics to combat Fraud, Waste and Abuse in Government programs
Pondera focuses on repeatable, federally-funded programs where we have disruptive advantages over current solutions. All of our solutions have the potential to fund themselves through program savings and all are delivered through the cloud.
Pondera’s proprietary detection engine is called FDaaS (Fraud Detection as a Service). FDaaS provides a 360 degree view of program transactions, analyzing the identity of the person applying for benefits, the device used to apply for the benefits (if processed online) and the claim itself. FDaaS combines this analysis into a confidence score which we provide to our clients and which identifies the likelihood of fraud.
FDaaS has a compelling value proposition for our clients:
- Identifies potentially fraudulent transactions prior to payment
- Requires no acquisitions of hardware, software, or training
- Selects from multiple machine-learning algorithms to identify anomalies
- Dynamically scales to meet any data volumes
- Continues to learn and improve with additional transaction data
- Provides link analysis and geospatial maps for strategic analysis
All of FDaaS's processing is performed in the cloud, in real-time. Using Google’s datacenters and advanced analytics tools, we are able to process literally billions of transactions in minutes. We have moved far beyond what any number of human analysts could accomplish.
Commitment to Data Privacy
Equally important to combating fraud is our commitment to data privacy. At Pondera, we are serious about data security and privacy, so serious that we regularly exceed our clients’ requirements. We process and de-identify all client data in a secure, HIPAA-compliant data center before sending it to Google for processing. And we handle each data file, regardless of what it actually contains, at our highest level of security. Pondera’s Data Security and HIPAA compliance officer is available to discuss any questions you may have.
Pondera Solutions is a products and services firm focused on implementing Google solutions in Government agencies. Pondera is headquartered in Folsom, California.
Pondera is the Latin word for ‘balance’ which is the way we approach every IT project – balancing technology and business functionality to help governments perform more effectively.
Jon Coss, CEO and Founder
Jon has 18 years of public sector technology experience with companies like Oracle and BMC Software. In 2006, Jon founded Finish Line Solutions which provided strategy and capture services to large system integrators and software manufacturers on over 75 public sector projects. Finish Line was acquired in 2010. Jon holds a B.A. from the University of North Carolina at Chapel Hill and an M.B.A. from New York University. → read full bio
Asif Ahmed, CTO and Founder
Asif has a proven track record in technology leadership. Before co-founding Pondera Solutions, Asif was the Chief Technology Officer of Saber Consulting. As CTO, Asif helped grow and lead Saber Consulting from a small startup to a company which EDS acquired for almost half a billion dollars. Over a 10 year period at Saber, Asif was responsible for creating innovative solutions for the Public Sector while managing multiple projects in excess of $100 million and leading a team of 250 developers.
Jeff Smith, COO
Jeff has 19 years of sales, partner and contracts management experience with large companies such as Oracle Corporation as well as with smaller “startup” companies. Jeff has also been a partner in two businesses (one of which was acquired in 2010) and held an executive position at a technology services startup company which completed two rounds of venture funding. Jeff earned a Bachelor of Science in Business Administration from California State University, Sacramento.
Bill Stewart, EVP of Fraud Solutions
Bill spent years at the Florida Attorney General’s office where he oversaw the State's Medicaid Fraud Control Unit (MFCU). Mr. Stewart served as the homeland security advisor to the attorney general, was appointed for four years by the attorney general to the Florida Domestic Security Oversight Council, Drug Policy Advisory Council, and to the position of Emergency Coordinating Officer at the State Emergency Operations Center. He was elected to serve as the Florida Intelligence Fusion Center Co-chairman by its state agency partners and he liaised with U.S. and foreign intelligence organizations. Mr. Stewart graduated from Florida State University with a B.A. in International Affairs and Economics and also serves as a sworn officer in the Leon County Sheriff’s office as a reserve deputy sheriff.
Greg Loos, President WW Sales and Marketing
Greg spent 23 years at Oracle Corporation, selling to both Commercial and Public Sector entities. For the past thirteen years, he held senior management positions in Oracle’s Public Sector markets. Mr. Loos’ experience at Oracle also included roles in finance and customer support. In his most recent role as Vice President at Oracle, Mr. Loos led a team of 100 people selling software and hardware to the State & Local Government market and delivered 300% growth over two years. Greg earned a Bachelor of Arts in Political Science in 1990 from Stanford University and graduated from the Stanford Executive Program in 2010.