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Services

Pallium™: An Anti-Fraud Enterprise Solution

Enabling a strategic, actionable, and measurable approach to managing fraud, waste, abuse, and improper payments

With fraudsters continually evolving and applying more sophisticated approaches to exploit program vulnerabilities, organizations must find alternative ways to proactively detect and prevent fraud, waste, and abuse (FWA) effectively.

Redefine your approach to FWA

Adopting a technology-enabled, end-to-end solution for FWA prevention and recovery—one that's focused on preemptive detection and mitigation—can help organizations reduce improper payments, strengthen internal controls, improve the rate of recoveries, reduce errors, identify emerging trends and patterns, and enhance regulatory compliance. An advanced solution should incorporate modern, scalable technologies that enable advanced descriptive, predictive, and prescriptive analytic techniques while automating and streamlining investigative processes.

Organizations can also benefit from a solution that:

  • Prioritizes high quality/high confidence cases to deliver actionable and measurable outcomes
  • Proactively identifies opportunities to enhance controls and drive cost avoidance
  • Drives down operational and investigative costs through enhanced workflows and business processes
  • Raises the dollar amount recovered
  • Provides analytic insights to enable strategic program decisions

That’s where Deloitte can help.

Simply put, Pallium™ is changing the way organizations manage fraud, waste, abuse, and improper payments. Pallium™ leverages our distinct Managed Services operating platform and delivery model and benefits from the global scale of our anti-fraud, waste, and abuse prevention, risk management, and internal controls knowledge and experience.

This deep knowledge is infused in each aspect of Pallium™, from a library of industry-benchmarked analytic models to a robust case management tool that drives leading practices throughout the investigative process. Our industry specialists continually evolve Pallium™, refining our analytic library and the investigative capabilities to keep them relevant and impactful, while making certain they are easily tailorable to client-specific profiles.

The bottom line? Pallium™ helps organizations fortify their FWA prevention and recovery initiatives with high levels of operational and system integration, data integrity, scalability, and performance.

Key features of Pallium™

Our skilled and experienced professionals will be there throughout the entire journey to:

  • Continuously improve analysis of FWA through ongoing monitoring, both pre-and post-claim, by proactively detecting non-compliant or potentially fraudulent behavior
  • Generate soft notices to help deter continued fraudulent behavior, typically in one of three areas:
    • A significant billing outlier
    • An emerging trend
    • A policy violation

Reduce costs to recovery while increasing recovery rates via targeted, high return on investment investigations

Recommend new or improved compliance rules to provide a more thorough and effective analysis of data, using analytic results to support policy recommendations or help identify loopholes to be mitigated

Identify potential unknown fraud risks more quickly and thoroughly through our specialists and machine learning, which can highlight and help address outliers and anomalies

Implement enhanced workflows to drive business process efficiencies and improve the quality of investigations, audits, and reviews

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Contact us to learn more about how Pallium™ can help you more effectively combat and prevent fraud, waste, and abuse.

Is your organization a good candidate for Pallium™?

​A few questions to consider:
  • Do you have an understanding of the financial impact to your company/organization from unresolved FWA?
  • How effective is your organization's current FWA approach? What are your most critical FWA challenges?
  • How quickly and thoroughly are you able to identify potential unknown fraud risks in the FWA process?
  • How well does your current FWA approach support resource requirements relating to investigators, inspectors, auditors, and prosecutors? How are you currently managing any resource limitations?
  • How well are you prepared organizationally to support future mandates, regulations, and emerging technologies?

Get in touch

Darin Srivisal
Pallium Lead

Michael Hall
GPS Industry Lead

Jeffrey Fisher
Commercial Industry Lead

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