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Author

Dev Sarker

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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. · 5 citations

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