Farahmandazad, Dorsa; Danesh, Kasra; Abadi, Hossein … - In: Risks : open access journal 13 (2025) 10, pp. 1-25
Medicare fraud poses a substantial challenge to healthcare systems, resulting in significant financial losses and undermining the quality of care provided to legitimate beneficiaries. This study investigates the use of machine learning (ML) to enhance Medicare fraud detection, addressing key...