Category Archives: Medicaid Fraud

Case Closed Software Announces the Launch of CaseNexus – A Revolutionary Real-Time Case Matching and Intelligence Sharing Platform for Law Enforcement

FOR IMMEDIATE RELEASE

Austin, TX – March 20, 2025 – Case Closed Software™, the industry leader in investigation management solutions, is proud to announce the release of CaseNexus™, a groundbreaking real-time case matching and intelligence-sharing platform designed exclusively for law enforcement and investigative agencies. CaseNexus leverages cutting-edge encryption, real-time notifications, and proprietary hashing technology to enable secure, cross-agency collaboration—without ever compromising sensitive case data.

“Law enforcement agencies face increasing pressure to solve cases quickly and work collaboratively across jurisdictions, but data security and operational integrity are often at odds with that goal,” said Douglas Wood, CEO of Case Closed Software. “We knew there had to be a better way to securely match and share intelligence in real time without exposing sensitive information—and that’s exactly what we’ve built with CaseNexus.”


Unmatched Security and Real-Time Intelligence

At the heart of CaseNexus is a proprietary hashing and encryption engine that allows agencies to store case data securely and match it against other agencies’ hashed data in real time. Unlike traditional data-sharing platforms, CaseNexus ensures that no raw data is ever exposed during the matching process, maintaining the highest levels of operational security.

Key Features of CaseNexus:

  • Real-Time Matching: CaseNexus processes and compares hashed data instantly, ensuring that investigators are notified of potential matches without delay.
  • End-to-End Encryption: All data is encrypted using AES-256, the highest industry standard for data protection.
  • Proprietary Hashing Algorithm: Data is converted into secure hashes using a one-way, irreversible algorithm, ensuring that even matched data remains confidential.
  • Instant Notifications: When a match is found, CaseNexus delivers real-time notifications to authorized personnel, enabling immediate action.
  • Cross-Agency Collaboration: Agencies can securely compare and match case data across jurisdictions without exposing sensitive information.
  • Zero-Knowledge Architecture: CaseNexus is designed so that even the platform itself cannot access or view the underlying data, preserving the integrity of investigative work.

Transforming Law Enforcement Investigations

CaseNexus is purpose-built for specialized law enforcement units and multi-jurisdictional task forces, including:

  • High-Intensity Drug Trafficking Areas (HIDTAs): Facilitates secure, real-time tracking of drug networks and criminal activity across jurisdictions.
  • Internet Crimes Against Children (ICAC) Task Forces: Enables faster identification of offenders and coordinated responses.
  • Human Trafficking and Exploitation Units: Matches intelligence across local, state, and federal agencies without compromising data security.
  • Counterterrorism and Organized Crime Units: Links seemingly unrelated cases and patterns to uncover larger networks and threats.
  • Fusion Centers and Intelligence Units: Enhances real-time threat analysis and situational awareness.
  • Cold Case and Homicide Units: Uncovers hidden connections between cases and previously unidentified suspects.
  • Financial Crimes and Cybercrime Units: Detects patterns in fraudulent activity and cyberattacks across agencies.
  • Weapons Trafficking and Firearms Task Forces: Matches ballistic data and gun trafficking networks securely and instantly.

Solving Cases Faster, Smarter, and Safer

“CaseNexus solves a problem that has plagued law enforcement for decades: the inability to securely and efficiently share intelligence across agencies without risking data exposure,” said Douglas Wood. “With CaseNexus, agencies can work together faster and smarter—without compromising security.”


About Case Closed Software

Case Closed Software is a leading provider of investigative case management solutions for law enforcement, federal agencies, and intelligence organizations. Known for its secure, scalable, and innovative platforms, Case Closed Software empowers investigative teams with the tools they need to solve cases efficiently while maintaining the highest levels of data protection and compliance.


Availability

CaseNexus is now available to qualified law enforcement and investigative agencies. For more information or to schedule a demo, visit https://www.caseclosedsoftware.com

Medicaid Fraud – The NAMPI Conference Wrap

Posted by Douglas Wood, Editor.MedicaidFraud-2_jpg_800x1000_q100
The National Association for Medicaid Program Integrity (NAMPI) wrapped up its 31st annual conference yesterday (August 12) in New Orleans with the theme “Jazzing up Program Integrity in the Big Easy.” I’m glad that the conference itself was full of cool presentations and networking events, because the temperature outside was Hot Hot Hot! (Note to self: One ‘Hurricane’ at Pat O’Briens on Bourbon Street is enough.)
50 years after President Lyndon Johnson signed into law legislation creating two new national health insurance programs –  Medicare and Medicaid – the latter is the largest source of medical and health-related services in the US, providing healthcare to over 68 million Americans with a low income. As the number of enrollees continues to grow, so then does the challenge of maintaining program integrity and fighting the inevitable fraud that hurts us all.
As someone who markets technology solutions in the fight against fraud and crime, I found much of the conference to be right up my alley. As with any conference, much of the agenda was sponsored by vendors of data solutions and technology. Kudos to LexisNexis for sponsoring keynote speaker Elizabeth Smart, former kidnapping victim and advocate for children’s safety. Her story was a powerful way to begin the conference and the packed room was riveted by her story and courage.
NAMPI president John McCormick’s Monday morning remarks were short and sweet and set the tone for what turned out to be an excellent couple of days. In particular, I thought the breakout session on program integrity by the US Government Accountability Office was excellent, as well as a session discussing the facts and myths about Return on Investment. The panel included Illinois Inspector General Brad Hart, Ohio’s Lalita Jambhale, and Oklahoma’s Cindy Roberts. A session called Advanced Analytics was also well-attended and, in my opinion, one of the better forums.
There were several excellent vendor-specific sessions as well, most notably a session entitled “The Next Generation of Medicaid Program Integrity: Where Identity Data, Linking Technology, and Clearing Houses Intersect”, and a look at Missouri’s Medicaid Audit and Compliance programs sponsored by Truven Analytics.
A walk around the Exhibitor floor showed most of the usual suspects – HMS, Truven, SAS, IBM, and others. Each vendor had some uniqueness and most had interesting fraud detection and visual analytics. Still missing from the end-to-end solution equation, however, is an investigative case management system that is purpose designed for Medicaid fraud investigations. Most vendors talked a good talk… few could walk the walk in that area. And what about a biometrics play? Identity assurance is a key element to medical care, why not in program integrity? When will someone fill those voids?
Of note, 21CT was in attendance and had, from what I could see, one of the better overall demonstrations. Their Torch offering continues to impress. Also interesting, Appriss‘ continued push into the industry with their ever-growing database of incarceration records. All vendors performed well, and a full list of those sponsors and exhibitors can be found on the NAMPI Conference website.
Congratulations to NAMPI on an excellent conference, and here’s hoping that the ideas shared continue to put a dent in the billions lost to fraud each year.