Skip to main content

Article

Visualizing fraud, waste and abuse

Graph analytics and machine learning drive the future of program integrity.

Interpret data naturally with two key tools

Digging through data to identify fraud, waste and abuse (FWA) can be a huge challenge. Fortunately, graphic analytics and machine learning can help.

With graph analytics, information is displayed in graph form so viewers can see the visual relationships and interactions between data points.

A machine learning system makes predictions based on past behavior or data and compares them against new data.

Combined, agencies can identify shifting relationships and patterns that can help steer the machine learning system in the right direction.

Read the article to learn how graph analytics and machine learning can help support your agency’s program integrity initiatives.

Related healthcare insights

View all

Case study

Utilizing patient access contact center

See how a hospital streamlined scheduling for about 700 providers and strengthened customer service for over 65,000 patient calls monthly.

Article

How payers can improve maternal care in the 4th trimester

Learn how payers can drive meaningful impact through preconception care, postpartum coaching and managing chronic conditions early.

Article

Addressing the loneliness epidemic and cognitive decline in seniors

To tackle this problem, payers need to take a holistic approach to delivering connection while addressing seniors’ mental and physical needs.