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2.1 Senior Medicare Patrol (SMP): The SMP Program will expand education and outreach efforts to senior centers and other Aging Network partners to help prevent health care fraud

Story Behind the Curve

The SMP Program provided 181 education and outreach events to senior centers and other Aging Network Partner to help prevent health care fraud. Provided education and outreach to the general public, including older persons and their families and caregivers. 

Partners

Partnering with NM Area Agencies on Aging and Indian Area Agency, religious ministries (Statewide), AARP, Heconomics, The New Mexico Alliance of Health Councils, NM Department of Health, NM Retiree Healthcare Authority, Educational Retirement Board, Office of the Attorney General, and Office of Superintendent of Insurance, Mobile Integrated Healthcare Program with the City of Las Cruces, New Mexico Health Navigators (Statewide), NM AARP (Statewide), Oasis Albuquerque, University of New Mexico Osher Lifelong Learning Institute (OLLI), Albuquerque, NM Western Institute for Lifelong Learning (WILL).  Silver City, NM, New Mexico Office of Indian Elder Affairs (OIEA) (Statewide), NM Alliance of Health Councils  (Statewide), NM Retiree Health Care Authority (Statewide), UNM Veteran’s Upward Bound Program (Northern NM), New Vistas-Centers For Independent Living (NE), The Ability Center (SW), NM State Police (Statewide), Taos Pueblo HHS (NE), San Ildefonso HHS (NE) and University of New Mexico - Community Health Workers (OC).

What Works

The pandemic has exacerbated the challenge to reach out to seniors the SMP program adapted outreach services through technology by providing victual presentations. 

What We Do

The SMP mission is to empower and assist Medicare beneficiaries, their families, and caregivers, to prevent, detect, and report suspected healthcare fraud, errors, and abuse through outreach, counseling, and education. SMPs work to resolve beneficiary complaints of potential healthcare fraud in collaboration with state and federal partners.

How We Impact

Nationally, each year, the Office of the Inspector General (OIG) completes an annual performance report on the SMP projects. The 2021 OIG SMP Performance Report documents the following outcomes for 2021 activities:

  • Community Outreach Events: SMP projects reached 556,980 people through 12,660 group outreach and education events. 
  • One-on-One Counseling: SMP projects held more than 239,625 individual counseling sessions with, or on behalf of, Medicare beneficiaries regarding potential fraud, errors, or abuse.
  • Expected Medicare Recoveries: SMP Projects reported $2.5 million in expected Medicare recoveries.

Clear Impact Suite is an easy-to-use, web-based software platform that helps your staff collaborate with external stakeholders and community partners by utilizing the combination of data collection, performance reporting, and program planning.

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