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<div class='ecard'><div class='ecard-header'><div><div class='ecard-name'>Inland Empire Health Plan</div><div class='ecard-meta'>County Government · CA</div></div><div class='ecard-header-right'><span class='badge badge-hot'>High Intent</span></div></div><div class='ecard-signals'><div class='signal-item'><div class='signal-title'>New obstetrics CPT code structure implementation January 2027</div><div class='signal-body-text'>Inland Empire Health Plan is preparing for the American Medical Association's implementation of a new obstetrics CPT code structure on January 1, 2027, which will replace current global codes and require significant operational adjustments. This transition demands data transformation services and fraud/waste/abuse detection capabilities to ensure accurate claims processing and compliance under the new coding framework. No RFP has been issued; this is pre-solicitation intelligence.</div></div><div class='signal-item'><div class='signal-title'>Obstetrics billing changes demand fraud detection readiness</div><div class='signal-body-text'>Inland Empire Health Plan faces revenue cycle disruption and claims denial risk as the new obstetrics CPT structure creates billing misalignment with existing provider contracts and reimbursement models. Implementing independent clinical review and quality improvement programs now positions the organization to validate coding accuracy and protect margin recovery during the transition.</div></div></div><div class='ecard-contacts'><div class='ecard-contacts-label'>Key Contacts · 0 verified by Pursuit</div><div class='contact-list'></div></div><div class='ecard-footer'><a class='ecard-source-link' href='https://app.pursuit.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.HwU11oFyNcY0ukx-JqHuntSG5QJtFTX_vqGOtc_zp_8' target='_blank'>View source · 2027-01-01</a><span class='ecard-timing'>⏱ Pre-RFP — no solicitation issued</span></div></div>
<div class='ecard'><div class='ecard-header'><div><div class='ecard-name'>Department of Labor</div><div class='ecard-meta'>County Government · FED</div></div><div class='ecard-header-right'><span class='badge badge-active'>Active Signal</span></div></div><div class='ecard-signals'><div class='signal-item'><div class='signal-title'>OIG disclosed $158 million opioid fraud scheme investigation</div><div class='signal-body-text'>The Department of Labor's Office of Inspector General disclosed a $158 million opioid fraud scheme and reported rising criminal fraud referrals, signaling heightened focus on detecting and preventing healthcare fraud. Organizations offering fraud and waste detection, data transformation, and quality improvement services are well-positioned to support compliance and investigation efforts. No RFP has been issued; this is pre-solicitation intelligence.</div></div><div class='signal-item'><div class='signal-title'>Labor Department strengthens oversight through enhanced fraud detection</div><div class='signal-body-text'>Rising criminal fraud referrals to the Department of Labor's Office of Inspector General signal mounting financial exposure and reputational risk across benefit programs. Organizations providing independent clinical reviews and dispute resolution services can help mitigate liability and accelerate investigation closure, directly protecting program integrity and budget allocation.</div></div></div><div class='ecard-contacts'><div class='ecard-contacts-label'>Key Contacts · 5 verified by Pursuit</div><div class='contact-list'><div class='contact-row'><div class='contact-info'><span class='contact-name'>Michael J. Dillinger</span><span class='contact-title'>Deputy Inspector General</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Westley Everette</span><span class='contact-title'>Associate Deputy Chief Financial Officer for Financial System Integrity (acting)</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>David B. Castillo</span><span class='contact-title'>Chief Financial Officer</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Kevin Brown</span><span class='contact-title'>Deputy Chief Financial Officer</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div><div class='contact-row'><div class='contact-info'><span class='contact-name'>Thomas Stohler</span><span class='contact-title'>Deputy Director for Program and Policy Administration</span></div><div class='contact-data-hints'><span class='data-hint'>Email</span><span class='data-hint'>Phone</span></div></div></div></div><div class='ecard-footer'><a class='ecard-source-link' href='https://app.pursuit.us/d/eyJ2IjoxLCJvIjoiNjk5ZjIwNzA1NGUyNjVkMDhiNDIyYmIwIiwidSI6ImFIUjBjSE02THk5M2QzY3VaRzlzTG1kdmRpOXphWFJsY3k5a2IyeG5iM1l2Wm1sc1pYTXZaMlZ1WlhKaGJDOWlkV1JuWlhRdk1qQXlOaTlEUWtvdE1qQXlOaTFXTXkwd05DNXdaR1k9Iiwia2lkIjoiMSIsInAiOjI5LCJjIjo3MDEwfQ.-z42pF9ElwsoBvPWvaQLP20wZJ1yLrJUxbYU72uK4-o' target='_blank'>View source · 2026-09-30</a><span class='ecard-timing'>⏱ Pre-RFP — no solicitation issued</span></div></div>
<div class='ecard'><div class='ecard-header'><div><div class='ecard-name'>Centers for Medicare and Medicaid Services</div><div class='ecard-meta'>County Government · FED</div></div><div class='ecard-header-right'><span class='badge badge-hot'>High Intent</span></div></div><div class='ecard-signals'><div class='signal-item'><div class='signal-title'>CMS analysis identifies Medicaid Enterprise Systems interoperability fragmentation issues</div><div class='signal-body-text'>The Centers for Medicare and Medicaid Services has identified fragmentation and siloed modules within Medicaid Enterprise Systems that prevent effective communication, creating a critical interoperability challenge. This gap directly impacts the need for data transformation services and fraud/waste/abuse detection capabilities to unify disparate systems and improve operational efficiency. No RFP has been issued; this is pre-solicitation intelligence.</div></div><div class='signal-item'><div class='signal-title'>Reduce fraud losses through integrated data transformation systems</div><div class='signal-body-text'>The Centers for Medicare and Medicaid Services confronts escalating compliance and audit exposure as fragmented Medicaid systems prevent consistent fraud detection and quality oversight across state programs. Resolving system interoperability directly reduces financial and reputational risk while enabling CMS to demonstrate accountability to Congress and beneficiaries.</div></div></div><div class='ecard-contacts'><div class='ecard-contacts-label'>Key Contacts · 0 verified by Pursuit</div><div class='contact-list'></div></div><div class='ecard-footer'><a class='ecard-source-link' href='https://app.pursuit.us/d/eyJ2IjoxLCJvIjoiNjk5ZjI3Njc4NDQyZGJjYzM3MjIwNGIzIiwidSI6ImFIUjBjSE02THk5ellXMHVaMjkyTDNkdmNtdHpjR0ZqWlM5amIyNTBjbUZqZEM5dmNIQXZOV0kwTmpJMFlqTmpOalJoTkdJeU5HSTFORFptWmpnM01UYzBOelE1WTJRdmRtbGxkeU5oZEhSaFkyaHRaVzUwTFdVM01qZzFZVE00T0RnMFlUUXlZekZoWWpaak9UTm1PRFEzWkRWallqTXciLCJraWQiOiIxIiwicCI6MSwiYyI6NzAxMH0.1mOolm-9wa-tA4oWjmPFjV6sRiCIJqB8vxuJhn98ixg' target='_blank'>View source · 2026-09-25</a><span class='ecard-timing'>⏱ Pre-RFP — no solicitation issued</span></div></div>