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Strengthening Integrity in Federal Programs

Strategies to elevate payment integrity and defend against fraud in federal agencies

Fraud, waste, and abuse (FWA) and improper payments cost taxpayers between $233 billion and $521 billion annually1eroding public trust in federal programs. Increasingly sophisticated fraudsters exploit loopholes via advanced cyber threats and fraud schemes causing potentially catastrophic damage. Addressing FWA, improper payments, and siloed data is critical to restoring integrity and efficiency.

Fraud activities are often interconnected and highly sophisticated, which requires continuous monitoring and safeguarding. If applied with a policy-driven, mission-first approach, capabilities enabled by AI can generate investigator-ready rationales, and align findings with agency policies for effective prevention.

Our federal government requires proactive, scalable, and explainable AI solutions that are built on data that has been aggregated, cleansed, and structured to help identify new and evolving fraud patterns and adapt to collusive threats. By enhancing fraud rule indicators and breaking down data silos, our KPMG transparent AI technology applications learn with minimal supervision, detect adversarial tactics, and help our clients stay ahead of evolving fraudsters.

Dive into our thinking:

From Detection to Prevention

AI that closes gaps and secures Medicare

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CMS Crushing Fraud Chili Cook-Off Competition

KPMG was a Top 10 Finalist in the CMS Crushing Fraud Chili Cook-Off Competition! Learn more about the competition here.

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