Originally written in 2016.

Originally published in HFMA.

Big Data Analytics Can Be a Game Changer for Healthcare Fraud, Waste, and Abuse


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Fraud, waste, and abuse in healthcare are often discussed as policy problems. They are also data problems: large, messy, expensive, and full of patterns that are obvious only in hindsight.

This piece was about the case for analytics in that setting. Not magic, not silver bullets, just the practical idea that better anomaly detection and pattern analysis can surface things that manual review and siloed systems routinely miss.