Brighterion
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Category: Healthcare FWA
AI solutions for identifying fraud, waste and abuse (FWA) in insurance claims
It is no secret that the healthcare system is complex. Fraud, waste and abuse (FWA) costs the industry hundreds of billions of dollars each year. A 2018 NHCAA report says, “some government and law enforcement [...]
Explainable AI: from black box to transparency
Financial organizations and their customers want to learn more about how AI works, citing the “black box” of AI as a complete mystery. With black box models, it’s not clear how scores are generated or [...]
How privacy protection tools enable the digital transformation of healthcare
The digital transformation of healthcare may have been accelerated by the COVID-19 pandemic, but all signs suggest it’s a permanent feature of modern healthcare delivery. From telemedicine to digital billings, personal information is being used [...]
How the use of AI and advanced technology is revolutionizing healthcare
The fundamental goals of healthcare are to improve people’s lives and to prevent and treat disease. We may think of technology and artificial intelligence as tools for diagnostic and medical advancements like robotic surgery, “smart” [...]
5 insights about using AI to detect fraud, waste and abuse in healthcare: AHIP 2021
Currently, 18 percent of the GDP in the U.S. – $3.65 trillion – is spent on healthcare. At least $300 billion is lost every year to fraud, waste and abuse (FWA). With up to 10 [...]
