Uncle Sam throws AI 'chili cook-off' to spice up healthcare fraud detection

Seeking to rein in healthcare fraud, the US Centers for Medicare & Medicaid Services (CMS) is seeking explainable AI models that can identify patterns suggestive of malfeasance. A chili cook-off usually involves stuffing one's face with spicy food, but not at CMS, where the fraud-fighting AI competition has been dubbed the " …

[Gary Stewart]

Do congressmen count?

I wonder if it will find Florida Senator Rick Scott? He was at the time the CEO of a Florida company found to have committed the still largest Medicare fraud in US history. Walked away scott (pun intended) free with lots of money. Now a senator, recently whined at a hearing on outlawing insider trading by congress people about not letting him and others make more money. Nothing to see here, please walk away.

[DS999]

Re: Do congressmen count?

Of course congressmen will count. But only if they are democrats, or are republicans who dare to vote against anything Trump wants.

[Anonymous Coward]

Re: Do congressmen count?

And yet last year a Hispanic fellow knocked on my door for him and spoke to my very lilly white ass in rapid fire Spanish about Scott and his support for Trump's immigration policies.

I told him to fuck off back to his country if he wants to help the immigration problem. In Spanish of course.

I should also note that Scott's company still runs the hospitals in my area. "Hospitals" that my primary care/GP has openly joked would be more appropriate for cattle before slaughter.

So don't expect anything.

[IGotOut]

They could use the UK's data they now have....

Just train in on old data, say from 2020 to 2022, to dig out fraud in the NHS.

Shouldn't to hard, most have 2nd or 3rd homes and are sometimes found around the Westminster area.