Research2026-08-21

Deloitte's Center for Government Insights published guidance on how US federal and state health agencies could use AI systems that plan and carry out multistep tasks to detect fraud earlier and prepare investigation evidence faster. It cites government estimates of federal fraud losses in the hundreds of billions of dollars a year and a cross-border banking pilot that doubled detection of known fraud. The recommendations are prospective, and the authors stress that reviewers must verify every suggestion.

What changed

Health agency fraud control largely runs after payment, with provider risk re-checked at revalidation two to five years apart.

What it unlocks

Continuous monitoring of provider licensing and ownership changes, and plain-language querying of billing and policy data to test new fraud hypotheses.

  • $233bn-$521bn est. annual federal fraud losses
  • fraud estimate covers FY2018-2022
  • 2x fraud detection in SWIFT pilot
  • 13 banks in SWIFT data pilot

What you need to act on it

  • documented agency procedures and policy knowledge before scaling
  • human review of AI-generated leads
  • data-sharing authority and privacy safeguards

Send this to someone who needs it

Shares the story and its sources. Nothing about you.

What does this mean for your job?

This is the story as everyone gets it. Once a week we send you the version written for your role — what changed, why it matters for the work you actually do, and one thing to try. Free while we tune it.