Goold Health Analytics serves as a watchdog on behalf of states and federal agencies, providing oversight and supporting states' responsibilities to detect, recover, and prevent inappropriate Medicaid, Medicare, and other health plan payments. Reducing fraud, abuse, and waste protects against the risks of financial loss and/or a decline in healthcare quality.

Analytic systems are excellent at pointing out statistical outliers. However, knowledge of the clinical and policy aspects of Medicaid and other public health programs, coupled with talented analysts experienced at working with health data, will allow a new level of investigation. Fraud and abuse can be targeted and all areas of the healthcare delivery system can be examined.

At GHA, we offer a unique skill set, integrating clinical and pharmacy expertise. We understand the intricacies of public health because our consultants have played in this arena for decades. And, today, we remain on the forefront, offering our clients sound, cutting-edge advice.

We are objective. We offer a fresh look. We see healthcare issues differently because we are able to step back and examine from a bird's view only then to take a close up look and drill through the plethora of data associated with pharmacy and medical claims.

We identify patterns of concerns, raise questions, and, as clinical experts, make sure patients are receiving appropriate servicesat the appropriate time at the appropriate place.

We get results for you. Namely, we help you build efficient and effective healthcare delivery systems, achieve optimal clinical outcomes, and save money.

Goold Health Analytics offers a level of surveillance that can be hard for state's to achieve internally because of high turnover,heavy workload, and limited resources. We, on the other hand, are in a position to put nothing above your needs. We have fulltime medical directors and experienced clinicians who go beyond data mining, and provide unique business intelligence.