Robin's Bio

Robin's Bio

About Mathias Consulting
Robin MathiasRobin is well known in the field of healthcare fraud and abuse and Medicaid decision support. Her website, MathiasConsulting.com is the most popular site for researching fraud cases. She speaks about healthcare fraud and abuse at conferences nationwide, including the 2005 Medicaid Management Information System (MMIS) Conference, Medicaid Managed Care Congress, Managing Managed Care Claims, and Association of Certified Fraud Examiner’s Insurance Fraud Conference. She is interviewed in the media and made her television debut on CNBC in a live interview about alleged healthcare fraud at Tenet Hospitals.

Robin started Mathias Consulting in 2001. Before starting her own business, Robin worked for the MEDSTAT Group where she identified fraud for Medicaid and Medicare clients and designed fraud algorithms and reports to manage healthcare cost, quality and utilization. She acted as both a product designer and senior consultant for Medstat and made significant contributions to their leading decision support tools.

Prior to entering the private sector, Robin was Director of Data Analysis and Budget for Indiana Medicaid, where she helped cut costs more than half a billion dollars in two years. Before she started at Indiana Medicaid, they did not have access to the data needed to make important policy decisions. Robin created the data analysis unit, implemented data analysis systems and trained her staff how to provide information needed to manage the Medicaid program. During her six year tenure with Indiana Medicaid, Robin managed implementation of a new decision support system and EIS to improve data retrieval and analysis. This included specifying Indiana’s business requirements, participating in JAD sessions, approving the mapping of data to the new system, approving system design, user acceptance testing (UAT) and managing the project and contractors. In addition to these responsibilities, she worked with actuaries to prepare and defend Medicaid’s budget forecasts.

Robin has a Masters of Public Affairs in public finance and policy analysis from Indiana University.