Jason Weinstock is an expert on designing and implementing program integrity and performance monitoring strategies, using both quantitative and qualitative methods, for government benefits programs.
His expertise includes designing monitoring plans, developing program integrity and outlier monitoring detection analytics, and providing technical assistance to improve states’ ability to protect their benefits programs against fraud, abuse and wasteful spending.
Weinstock has led a host of projects and tasks involving monitoring of the Centers for Medicare & Medicaid Services (CMS) Innovation Center models, Medicaid program integrity, and monitoring and oversight of dually eligible special needs plans. He is currently the deputy project for the Child Welfare and Health Infrastructure for Linking and Data Analysis of Resources, Effectiveness, and Needs (CHILDREN) Initiative, conducted for the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services (HHS). The CHILDREN initiative seeks to enhance the data infrastructure and analytic capacity of state child welfare and Medicaid agencies to improve the delivery and oversight of services, help agencies monitor program spending, and conduct cross-program research on and evaluation of service outcomes. Weinstock also leads a project that involves assessing how well states maintain Medicaid program integrity and provides technical assistance to help them improve.
Weinstock came to Mathematica in 2014 from the HHS Office of Inspector General, Office of Investigations, where he was the inspector for Medicaid and Medicare Part C operations. Previously, he worked at CMS as a special assistant to the deputy director for the Centers for Medicaid and CHIP Services and as the law enforcement coordinator for the Medicaid Integrity Group. He began his career in health care as a prosecutor at the Maryland Medicaid Fraud Control Unit.
The most successful approaches to evaluating and improving program integrity initiatives start with stepping back from day-to-day, mission-critical operations to answer four basic questions.
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