The Centers for Medicare and Medicaid Services (CMS) has built machine learning-based models that can identify potentially fraudulent Medicare payments. This is a huge endeavor, with similarly huge impacts.
Consider that in a single day, CMS receives millions of claims representing billions in payments. Using machine learning and regression analysis, link analysis, outlier detection and behavioral analysis the agency was able to identify risky providers and, in turn, analyze large volumes of data that previously went unanalyzed.
“Deriving value from data can transform the way agencies deliver services,” GDIT Vice President, AI and Data Insights Dave Vennergrund said. “Ultimately, this positively impacts the missions they advance and the people they serve.”
Leveraging data to make better, smarter or faster decisions has the potential to transform the way government operates. The tools at agencies’ disposal are as powerful, accessible, and varied as ever before. With them, agencies can support entirely new missions as well as their traditional missions in entirely new ways.