Fraud Detection in Healthcare from Capgemini and Palantir

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Palantir and Capgemini partner to uncover fraud and abuse in the healthcare sector

Globally, healthcare insurers and other organizations lose an estimated $260 billion every year to fraud and abuse, most of which is committed through bogus healthcare insurance claims. Fraudulent activity is difficult to detect among the huge volumes of legitimate claims processed daily in the sector. How can the detection process be strengthened to achieve more, and offer greater protection given the finite resources available?

Capgemini has partnered with Palantir to bring new technology to bear on these analytical problems. The Palantir platform, deployed by Capgemini already for a number of healthcare clients, brings together data from multiple sources and applies powerful automation to processes which have often been conducted manually. The solution makes it easier to find the suspicious claims which repay time-intensive investigation.

For more information and to join the discussion on healthcare fraud and abuse, visit the health transformation blog.