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.