Protecting Public Healthcare Enrollment

Federal and state public health agencies face an identity fraud threat that their current enrollment controls were never designed to stop. Enrollment controls across Medicaid, Affordable Care Act (ACA) exchanges, Children's Health Insurance Program (CHIP), and related programs were built to catch income and employment misrepresentation. The fraud bypassing them operates at a different layer entirely: the identity layer, where stolen, fabricated, and misappropriated identities enter the application process before any eligibility check begins.

Agencies that add an identity verification layer at the front of enrollment can reduce fraud by as much as two-thirds before a caseworker is ever engaged.