The growing complexity and variability in healthcare delivery and costs within Medicare Advantage (MA) and Medicare Supplement (Medigap) plans present significant challenges for improving health outcomes and managing expenditures. Neural networks, a subset of artificial intelligence (AI), have shown considerable promise in optimizing healthcare processes, particularly in predictive modeling, personalized treatment recommendations, and risk stratification. This paper explores the application of neural networks in enhancing health outcomes within the context of Medicare Advantage and Supplement plans. We review how deep learning models can be leveraged to predict patient risk, optimize resource allocation, and identify at-risk populations for preventive interventions. Additionally, we discuss the potential for neural networks to improve claims processing, reduce fraud, and streamline administrative burdens. By integrating various data sources, including medical records, claims data, and demographic information, neural networks enable more accurate and efficient decision-making processes. Ultimately, this approach can lead to better patient care, reduced healthcare costs, and improved satisfaction for beneficiaries of these programs. The paper concludes by highlighting the current limitations, ethical considerations, and future directions for AI adoption in the Medicare Advantage and Supplement sectors.

We investigate and analyze the trends and behaviors in credit card fraud attacks and transactions. First, we perform logical analysis to find hidden patterns and trends, then we leverage game-theoretical models to illustrate the potential strategies of both the attackers and defenders. Next, we demonstrate the strength of industry-scale, privacy-preserving artificial intelligence solutions by presenting the results from our recent exploratory study in this respect. Furthermore, we describe the intrinsic challenges in the context of developing reliable predictive models using more stringent protocols, and hence the need for sector-specific benchmark datasets, and provide potential solutions based on state-of-the-art privacy models. Finally, we conclude the paper by discussing future research lines on the topic, and also the possible real-life implications. The paper underscores the challenges in creating robust AI models for the banking sector. The results also showcase that privacy-preserving AI models can potentially augment sharing capabilities while mitigating liability issues of public-private sector partnerships [1].

This paper shows how Big Data Analytics (BDA) and Artificial Intelligence (AI) automation facilitate regulatory compliance in Finance. Regulatory compliance is essential in helping institutions to mitigate reputational, litigation, and financial risk. Existing literature reveals several preconditions for compliance. However, much of the literature has adopted an internal view of compliance without considering external regulatory frameworks. This research draws on the cognitive model of regulation that looks at regulatory compliance as a social construct. It uses a triangulation research method comprising literature review, interview of trade compliance experts, and questionnaire survey of compliance practitioners to understand how regulation affects compliance and what role ICTs play in implementing compliance. The findings of this study present a regulatory compliance framework comprising four cognitive stages and a conceptual regulatory compliance system that presents how BDA and AI automation are applied to mitigate regulatory complexity and enhance regulatory compliance. The conceptual regulatory compliance system shows how BDA and AI enable institutions to dynamically assess regulatory risk, automatically monitor compliance, and intelligently predict risk violations mitigating regulatory complexity and preventing producing unnecessary documents. It provides theoretical contributions to understanding regulatory evolution and compliance and practical implications for understanding how regulation evolves to be more complicated and elements of a regulatory compliance system mitigate proliferating regulations. Additionally, it provides avenues for future research into the relationship between competing regulatory mandates and how institutions cope with that. Regulations are important for ensuring compliance and governance in finance and to curb systemic risk. Complying with regulations is difficult due to their growing volume, complexity, and fragmentation. Institutions use large-scale Information and Communication Technologies (ICTs), such as Big Data Analytics (BDA) and Artificial Intelligence (AI) automation, to monitor compliance and mitigate regulatory complexity. However, less is known about how firms comply with regulation. Most literature does not thoroughly investigate regulatory elements nor explicitly relate them to compliance.

Digital signal processing played a central role in two practical studies addressing challenging problems related to high-volume SWIFT financial messaging flows conveyed by the interconnected banking network. Technical methods and results are summarized here for each study, with the links to fundamental concepts underlying the work shown in parentheses. The first addresses real-time fraud detection, integrating pattern recognition and anomaly scoring procedures into a latency conscious processing system. The second focuses on minimizing delay without degrading detection accuracy, balancing speed and fidelity in filter design and control. Together, they demonstrate the potential for applying a DSP perspective to broad classes of problems encountered in processing financial messaging data. The first study extends work on a signal representation of financial messaging data streams and the associated noise characteristics by developing a vocabulary that translates real-world fraud patterns into DSP operations. Examination of the resulting choice of signal features, combined with considerations of detection speed, form the basis for details about implementing the pattern-recognition and anomaly-scoring tasks within a streaming-processing architecture.