Eight Medicare program integrity projects
Completed between 2023 and 2026. Each project includes a methodology preprint, a reproducible analytical pipeline, public figures, and a downloadable technical report.
Medicare Part D Prescriber Risk Analytics
Machine learning and statistical scoring of every active Medicare Part D prescriber, with temporal holdout validation against newly excluded providers.
Medicare Part D Opioid Prescribing Analytics
Six feature risk scoring for opioid prescribing patterns, with state and specialty peer benchmarking across 2,020 peer cohorts.
Medicare Part B Drug Waste Anomaly Detection
Anomaly detection on injectable drug discard amounts, identifying the small share of drugs that drive the large share of national Medicare waste.
DME Program Integrity Analytics
Dual method risk scoring for durable medical equipment suppliers across 2021 to 2023, with bootstrap confidence intervals on national excess projections.
Medicare Telehealth Program Integrity
Provider level risk scoring for telehealth utilization patterns following the COVID 19 expansion, with full traceability across 63 verified claims.
Hospital Inpatient DRG Billing Anomaly Detection
Five feature anomaly detection on hospital DRG billing patterns across 27 million inpatient discharges over five fiscal years.
Home Health and Hospice Program Integrity
Dual track risk scoring across home health agencies and hospice providers, with state level baselines and threshold sensitivity analysis.
Healthcare Access and Equity Analytics
County level Medicare access disparities across all U.S. counties, with peer state baseline comparisons and high risk county identification.
Pakistan Sleep Diagnostic Laboratory
Healthcare operations and clinical analytics work at Shifa International Hospital's Sleep Disorder Centre.
CareforceX
Earlier healthcare platform development work focused on care coordination and provider workflow tooling.