How Advanced Analytics Can Prevent Medicaid Fraud
This report highlights how state Medicaid programs can use advanced analytics and machine learning to combat fraud, waste, and abuse. It details the scale of the problem—billions in improper payments—and the difficulty of enforcement due to fragmented systems and outdated infrastructure. By integrating data across silos and applying AI-driven pattern recognition, agencies can shift from detection to real-time prevention. This document is essential reading for public sector leaders looking to modernize fraud management using data intelligence.