Nextgov: Last year, a team of data geeks, statisticians and modelers teamed with law enforcement agents after unearthing curious analytic patterns in Medicare data. They suggested a number of health care providers were submitting claims for services they weren’t providing.
With access to petabytes’ worth of data housed within the Centers for Medicare and Medicaid and newfound analytic tools to delve into it, officials from the Department of Health and Human Services were able to team with the FBI and Justice Department in a $1 billion fraud takedown—the largest in Medicare’s history.
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