Program Integrity in the Federal Government | KPMG | US

Program Integrity in the Federal Government

Program Integrity in the Federal Government

Helping governments deliver more efficient and effective services

Helping governments deliver more efficient and effective services

Government Challenge

The U.S. Federal Government continues to evolve its response to the growing threat of fraud and improper payments in some of its most important public programs, particularly those providing vital social services and healthcare. Criminals are becoming more sophisticated in exploiting gaps and deficiencies present in the organizations, regulations, and systems that support these programs. Additionally, program administrative inefficiencies are often the culprit for improper spending. The government can no longer rely on regimented compliance activities and “pay and chase” models to combat fraud, waste, and abuse. Rather, the government must augment its current model with an approach that can predict, detect, and prevent misspending.

Strengthening and improving program integrity requires deep industry experience and diverse functional and technical capabilities to identify and understand the most vulnerable programs; implement and continuously manage the necessary controls; detect and prevent fraud and improper payments; and apply innovative technology solutions.

How we can help

KPMG helps federal agencies achieve the highest level of integrity across their most important and complex programs. Our in-depth understanding of government programs, regulatory experience, financial and program audit capabilities, and forensic technology and fraud-management services enables us to help our clients develop, implement, and manage thorough program integrity solutions.

We can help our clients launch and operationalize new programs, improve existing programs, or comply with legislative mandates, such as the Improper Payments Elimination and Recovery Act (IPERA) and OMB Circular No. A-123. KPMG helps our clients achieve increased levels of program integrity through the following capabilities:

  • Program risk assessments
  • Internal control assessment, design, implementation, monitoring, and remediation
  • Improper payment risk assessment, measurement, and remediation
  • Business process analysis and optimization
  • Fraud detection
  • Forensic technology solutions
  • Predictive analytics using risk-based models and decision engines
  • Program risk and compliance monitoring and management.

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Inserting program integrity into healthcare

See how KPMG helped CMS develop ACA program operations needed to ensure program integrity.