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
How Optum Care Transitions Improves Post-Acute Care

Case study

How Optum Care Transitions helps improve post-acute performance for health plans

See how a leading health plan reduced costs, improved outcomes and strengthened provider relationships with a modern post-acute care model.

How to Effectively Manage Organ Transplant Costs

Article

How to manage organ transplant costs

There’s a lot at stake with organ transplant claims. Learn the importance of selecting an effective payment integrity approach.

Supporting Women Beyond the Reproductive Years

Article

Supporting women beyond the reproductive years

Learn how health plans can fill care gaps by offering greater support and personalized solutions for women experiencing menopause.