Open access
Jul 2026
AI-Driven Modernization of Medicare and Medicaid Enterprise Systems: Interoperability, Claims Analytics, and Fraud Detection Frameworks
This paper aims to propose an integrated AI-based framework for healthcare analytics, which includes interoperability, predictive analytics, anomaly detection, and explainable artificial intelligence for large-scale fraud detection.
Partha Pratim Saha, Md Ranjan Paul, Rezaul Karim Khan et al.
· Journal of Intelligent Decis... · 5 citations