Abt has the secret sauce to crush CMS fraud.
Abt has been selected as one of 10 national finalists in the Centers for Medicare & Medicaid Services’ (CMS) Crushing Fraud Chili Cook-Off, a high-stakes innovation challenge that drew more than 250 entries from across the country. The competition calls for explainable AI models that help CMS detect and prevent fraud, waste, and abuse (FWA) in the Medicare Fee-for-Service program.
Our recipe for success isn’t just code. Abt’s approach combines AI-powered analytics, secure, scalable data integration, and decades of CMS domain expertise. It’s a proven blend that delivers practical, actionable results refined through years of supporting CMS efforts to protect taxpayer dollars and improve program integrity.
As a finalist, our team is applying its model to real Medicare claims data and developing policy recommendations that are both data-driven and ready for scale.
Meet our chefs, explore the history of our CMS work, and stay tuned for future information on our FWA solution!
Meet our Chefs
- ZeAmma Brathwaite, Vice President Healthcare Portfolio
- TJ Shumard, Technical Account Lead
- Matt Sweeney, CMS Account Senior Lead
- Greg Dupier, Vice President
- Michele Roozeboom-Baker, Health Data Analytics Lead
Explore our Projects and Resources
Analyzing If An Oncology Care Model Will Improve Care and Lower Costs
Cancer strikes 1.6 million Americans each year. It imposes huge costs: heartache, death, and an estimated $263.8 billion in medical care and lost productivity in 2010, the most recent data available. Cancer care is complex and improving it faces a legal…
Strategic Support for Medicaid & CHIP Managed Care Programs
The Centers for Medicare and Medicaid Services (CMS) is the largest provider of health insurance in the United States. Two of CMS’ most impactful programs are Medicaid and the Children’s Health Insurance Program (CHIP), which provide essential health…
Evaluating CMS’s InCK Model For Kids with Complex Health Needs
Improving healthcare quality while reducing costs is a goal Abt Global has been helping the Centers for Medicare and Medicaid Services (CMS) pursue for more than a decade through evaluations and more. CMS’s Integrated Care for Kids (InCK) payment and…
Caring for Nursing Home Residents with Dementia
Studies indicate that dementia care in the United States is, generally, impersonal and fragmented. Massachusetts requires long-term care facilities to provide dementia care training to direct-care workers. The intention of the regulation was to address…
Monitoring Medicare’s Home Health, Hospice, and Inpatient Rehabilitation Facility Benefits
The Centers for Medicare & Medicaid Services’ (CMS) home health, hospice, home infusion therapy, home IVIG, and IRF benefits require constant monitoring of payment policy—and revisions, as needed—to ensure they are working as intended. This enables…