Uncle Sam wants AI models that can detect healthcare fraud • The Register

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 " Crushing Fraud Chili Cook-Off " despite no sign that stew is included, or sponsorship from an official chili cook-off body (yes, they exist ).

Instead, the competition is seeking "market-based research" projects that make use of AI and ML models to "identify anomalous patterns within Medicare claims data, translate detected patterns into indicators of fraud, and propose scalable analytic and policy solutions to address the identified indicators."

However, the projec