PLATO® Real-time Predictive Modeling and Data Analytics

PLATO LogoPLATO® - Health Integrity is offering the most powerful analytics engine that sifts through billions of claims and public criminal records to detect aberrant trends and alert users for early investigative and audit actions with high accuracy and performance. It is scalable and extensible and easily integrated with your data systems.

Successful Implementation

PLATO® has been successfully implemented for the National Benefit Integrity (NBI) Medicare Drug Integrity Contractor (MEDIC) to identify fraud, waste and abuse patterns of Medicare Advantage (Part C) and Medicare Prescription Drug program (Part D).

PLATO® has been successfully implemented for the State of Delaware as an innovative solution to prevent and detect fraud, waste and abuse in the Medicaid program.

The system is powered by multi-faceted expertise that includes:

  • Healthcare fraud, waste and abuse experts who are at the front line of keeping up with schemes and policy changes
  • Statisticians with advanced analytics background who are exceptional with using data science and machine learning to identify complex patterns in big data
  • Awesome developers and software designers that blend workflows into the solution features intuitively.

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