Article

Utilization Analysis and Fraud Detection in Medicare via Machine Learning

2025-01-01

Abstract excerpt

Healthcare fraud and overutilization pose significant challenges in the United States, leading to substantial financial losses and compromised patient care. Medicare, a vital federal healthcare program, is particularly susceptible to such abuses. With over 63 million Americans enrolled in Medicare and growing expenses, the need for effective fraud detection is paramount. Traditional methods relying on manual audit...

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Literature Corpus work: 3c511fc9-9728-5563-9d3b-f500d73f5aa1
DOI: 10.1101/2024.12.30.24319784

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