Tens of billions of dollars are lost to healthcare fraud, waste and abuse in the United States each year. Detecting this type of activity can be challenging - it requires analysis of internal data regarding referring physicians, patients, and treatment facilities, and connecting it with relevant external data, to uncover connections between them.
In this solution brief we explore how healthcare companies can uncover waste, abuse and fraud by combining different datasets and analyzing the connections between them in depth using graph database and analytics.