DALLAS, Nov. 19, 2014 /PRNewswire-USNewswire/ -- The National Health Care Anti-Fraud Association (NHCAA) has named Gordon W. Grundy, MD, MBA Medical Director, Special Investigations Unit, Aetna as the recipient of its 2014 Medical Director Award for the many significant contributions he has made to the field of health care fraud-fighting.
Dr. Grundy is an integral part of Aetna's Special Investigations Unit (SIU), a role he has held since 2008. His work as the dedicated medical director to the SIU, providing clinical expertise and insight to support fraud investigations and advise relevant policy changes, has helped Aetna achieve remarkable savings and recoveries of $300 million in the past year alone. And he has been directly involved in savings and recovery efforts that have yielded more than $30 million.
His proven commitment to fighting health care fraud and his frequent collaboration with internal as well as external stakeholders make him a tremendous resource to our industry. Dr. Grundy is an active member of the NHCAA Medical Directors Advisory Group where he promotes involvement of his professional colleagues. In addition, he has served as faculty for NHCAA conferences and will serve on the NHCAA 2015 Annual Training Conference Committee.
"The work that Dr. Grundy does for the SIU and our customers positions Aetna as a leader in the fight against health care fraud," said Aetna's Daniel Finke, Chief Executive Officer, Accountable Care Solutions. He adds, "Aetna's SIU and its executives consider Dr. Grundy to be a highly valued team member."
In acknowledging his work, Aetna's Senior Director of the SIU and 2014 Chair of the NHCAA Board of Directors Ralph Carpenter said, "From the day Dr. Gordon Grundy walked in the door and became a member of our team he has been nothing short of amazing. He consistently impresses me with his ability to navigate through the complexities of major investigations. He is a thoughtful and strategic thinker who has helped us create significant efficiencies in our work flows. I speak for the entire SIU team when I say that as a direct result of his work we have effectively stopped millions of fraudulent dollars from leaving Aetna and brought hundreds of cases to successful conclusion."
"Dr. Grundy is a devoted champion of the health care fraud investigative field who is unfailingly generous with his medical knowledge and expertise in support of his Aetna colleagues as well as his industry peers," said Louis Saccoccio, Chief Executive Officer of NHCAA. "NHCAA is very proud to honor Dr. Grundy with the 2014 Medical Director Award for his dedication to combating health care fraud."
The 2014 Medical Director of the Year award was announced in conjunction with NHCAA's Annual Training Conference in Dallas, Texas. The Annual Training Conference is the premier event recognized as the nation's leading health care anti-fraud forum for more than 1,200 public- and private-sector health care anti-fraud professionals.
Founded in 1985, the National Health Care Anti-Fraud Association is the leading national organization focused exclusively on the fight against health care fraud. Our members comprise more than 100 private health insurers and those public-sector law enforcement and regulatory agencies having jurisdiction over health care fraud committed against both private payers and public programs.
SOURCE National Health Care Anti-Fraud Association