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Indiana looks to artificial intelligence to root out Medicaid fraud (opens original article in a new tab)

TL;DR

Indiana is testing artificial intelligence to identify and prevent Medicaid fraud through a 90-day pilot program with Oracle and CMS, aiming to detect suspicious billing patterns and flag claims in real time.

  • Indiana is testing AI to detect Medicaid fraud with a 90-day pilot program.
  • AI will analyze billing patterns and flag suspicious claims in real time.
  • Oracle will handle FSSA data with restrictions on data use and sharing.

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