Canada

Medical insurance fraud has always been a crucial challenge in the field of healthcare industry. Existing fraud detection models mostly focus on offline learning scenes. However, fraud patterns are constantly evolving, making it difficult for models trained on past data to detect newly emerging fraud patterns, posing a severe challenge in medical fraud detection. Moreover, current incremental learning models are mostly designed to address catastrophic forgetting, but often exhibit suboptimal performance in fraud detection. To address this challenge, this paper proposes an innovative online learning method for medical insurance fraud detection, named POCL. This method combines contrastive learning pre-training with online updating strategies. In the pre-training stage, we leverage contrastive learning pre-training to learn on historical data, enabling deep feature learning and obtaining rich risk representations. In the online learning stage, we adopt a Temporal Memory Aware Synapses online updating strategy, allowing the model to perform incremental learning and optimization based on continuously emerging new data. This ensures timely adaptation to fraud patterns and reduces forgetting of past knowledge. Our model undergoes extensive experiments and evaluations on real-world insurance fraud datasets. The results demonstrate our model has significant advantages in accuracy compared to the state-of-the-art baseline methods, while also exhibiting lower running time and space consumption. Our sources are released at https://github.com/finint/POCL.

AAAI 2024

Pre-trained Online Contrastive Learning for Insurance Fraud Detection

regulation & governance

ai and law

graph mining

societal impact of ai

social network analysis & community mining

justice

technical paper

We are pleased to announce the Thirty-Eighth AAAI Conference on Artificial Intelligence (AAAI-24), which will be held in Vancouver, British Columbia at the Vancouver Convention Centre – West Building from 20-27 February, 2024.

The purpose of the AAAI conference series is to promote research in Artificial Intelligence (AI) and foster scientific exchange between researchers, practitioners, scientists, students, and engineers across the entirety of AI and its affiliated disciplines. AAAI-24 will feature technical paper presentations, special tracks, invited speakers, workshops, tutorials, poster sessions, senior member presentations, competitions, and exhibit programs, and a range of other activities to be announced.

We expect for AAAI-24 to be an in-person conference – one author of all accepted papers will be expected to present work in person unless there are exceptional circumstances that prevent this.<br><br><br><br>

In order to access the AAAI-24 event page you need to register [here](https://aaai.org/aaai-conference/registration/)

The purpose of the AAAI conference series is to promote research in Artificial Intelligence (AI) and foster scientific exchange between researchers, practitioners, scientists, students, and engineers across the entirety of AI and its affiliated disciplines. 

Depression detection is a challenging and crucial task in psychological illness diagnosis. Utilizing online user posts to predict whether a user suffers from depression seems an effective and promising direction. However, existing methods suffer from either poor interpretability brought by the black-box models or underwhelming performance caused by the completely separate two-stage model structure. To alleviate these limitations, we propose a novel capsule network integrated with contrastive learning for depression detection (DeCapsNet). The highlights of DeCapsNet can be summarized as follows. First, it extracts symptom capsules from user posts by leveraging meticulously designed symptom descriptions, and then distills them into class-indicative depression capsules. The overall workflow is in an explicit hierarchical reasoning manner and can be well interpreted by the Patient Health Questionnaire-9 (PHQ9), which is one of the most widely adopted questionnaires for depression diagnosis. Second, it integrates with contrastive learning, which can facilitate the embeddings from the same class to be pulled closer, while simultaneously pushing the embeddings from different classes apart. In addition, by adopting the end-to-end training strategy, it does not necessitate additional data annotation, and mitigates the potential adverse effects from the upstream task to the downstream task. Extensive experiments on three widely-used datasets show that in both within-dataset and cross-dataset scenarios our proposed method outperforms other strong baselines significantly.

Depression Detection via Capsule Networks with Contrastive Learning

This paper analyzes the privacy of traditional Statistical Disclosure Control (SDC) systems under a differential privacy interpretation. SDCs, such as cell suppression and swapping, promise to safeguard the confidentiality of data and are routinely adopted in data analyses with profound societal and economic impacts. Through a formal analysis and empirical evaluation of demographic data from real households in the U.S., the paper shows that widely adopted SDC systems not only induce vastly larger privacy losses than classical differential privacy mechanisms, but, they may also come at a cost of larger accuracy and fairness.

Finding $\epsilon$ and $\delta$ of Traditional Disclosure Control Systems

Due to the significance of its various applications, source localization has garnered considerable attention as one of the most important means to confront diffusion hazards. Multi-source localization from a single-snapshot observation is especially relevant due to its prevalence. However, the inherent complexities of this problem, such as limited information, interactions among sources, and dependence on diffusion models, pose challenges to resolution. Current methods typically utilize heuristics and greedy selection, and they are usually bonded with one diffusion model. Consequently, their effectiveness is constrained. To address these limitations, we propose a simulation-based method termed BOSouL. Bayesian optimization (BO) is adopted to approximate the results for its sample efficiency. A surrogate function models uncertainty from the limited information. It takes sets of nodes as the input instead of individual nodes.BOSouL can incorporate any diffusion model in the data acquisition process through simulations. Empirical studies demonstrate that its performance is robust across graph structures and diffusion models. The code is available at https://github.com/XGraph-Team/BOSouL.

Multiple-Source Localization from a Single-Snapshot Observation Using Graph Bayesian Optimization

The open streets initiative "opens" streets to pedestrians and bicyclists by closing them to cars and trucks. The initiative, adopted by many cities across North America, increases community space in urban environments. But could open streets also make cities safer and less congested? We study this question by framing the choice of which streets to open as a reinforcement learning problem. In order to simulate the impact of opening streets, we first compare models for predicting vehicle collisions given network and temporal data. We find that a recurrent graph neural network, leveraging the graph structure and the short-term temporal dependence of the data, gives the best predictive performance. Then, with the ability to simulate collisions and traffic, we frame a reinforcement learning problem to find which streets to open. We compare the streets in the open streets initiative to those proposed by a Q-learning algorithm. We find that the streets proposed by the Q-learning algorithm have reliably better outcomes, while streets already selected by the open streets initiative have similar outcomes to randomly selected streets. We present our work as a step toward principally choosing which streets to open for safer and less congested cities. All our code and data are available in the supplementary material.

I Open at the Close: A Deep Reinforcement Learning Evaluation of Open Streets Initiatives | VIDEO

Fairness is becoming a rising concern in machine learning. Recent research has discovered that state-of-the-art models are amplifying social bias by making biased prediction towards some population groups (characterized by sensitive features like race or gender). Such unfair prediction among groups renders trust issues and ethical concerns in machine learning, especially for sensitive fields such as employment, criminal justice, and trust score assessment. In this paper, we introduce a new framework to improve machine learning fairness. The goal of our model is to minimize the influence of sensitive feature from the perspectives of both data input and predictive model. To achieve this goal, we reformulate the data input by eliminating the sensitive information and strengthen model fairness by minimizing the marginal contribution of the sensitive feature. We propose to learn the sensitive-irrelevant input via sampling among features and design an adversarial network to minimize the dependence between the reformulated input and the sensitive information. Empirical results validate that our model achieves comparable or better results than related state-of-the-art methods w.r.t. both fairness metrics and prediction performance.

Adversarial Fairness Network

This paper studies long-term fair machine learning which aims to mitigate group disparity over the long term in sequential decision-making systems. To define long-term fairness, we leverage the temporal causal graph and use the 1-Wasserstein distance between the interventional distributions of different demographic groups at a sufficiently large time step as the quantitative metric. Then, we propose a three-phase learning framework where the decision model is trained on high-fidelity data generated by a deep generative model. We formulate the optimization problem as a performative risk minimization and adopt the repeated gradient descent algorithm for learning. The empirical evaluation shows the efficacy of the proposed method using both synthetic and semi-synthetic datasets.

Long-Term Fair Decision Making through Deep Generative Models | VIDEO

Social media sites have become a popular platform for individuals to seek and share health information. Despite the progress in natural language processing for social media mining, a gap remains in analyzing health-related texts on social discourse in the context of events. Event-driven analysis can offer insights into different facets of healthcare at an individual and collective level, including treatment options, misconceptions, knowledge gaps, etc. This paper presents a paradigm to characterize health-related information-seeking in social discourse through the lens of events. Events here are board categories defined with domain experts that capture the trajectory of the treatment/medication. To illustrate the value of this approach, we analyze Reddit posts regarding medications for Opioid Use Disorder (OUD), a critical global health concern. To the best of our knowledge, this is the first attempt to define event categories for characterizing information-seeking in OUD social discourse. Guided by domain experts, we develop TREAT-ISE, a novel multilabel treatment information-seeking event dataset to analyze online discourse on an event-based framework. This dataset contains Reddit posts on information-seeking events related to recovery from OUD, where each post is annotated based on the type of events. We also establish a strong performance benchmark (77.4% F1 score) for the task by employing several machine learning and deep learning classifiers. Finally, we thoroughly investigate the performance and errors of ChatGPT on this task, providing valuable insights into the LLM's capabilities and ongoing characterization efforts.

Characterizing Information Seeking Events in Health-Related Social Discourse | VIDEO

The aftermath of the Covid-19 pandemic saw more severe outcomes for racial minority groups and economically-deprived communities. Such disparities can be explained by several factors, including unequal access to healthcare, as well as the inability of low income groups to reduce their mobility due to work or social obligations. Moreover, senior citizens were found to be more susceptible to severe symptoms, largely due to age-related health reasons. Adapting vaccine distribution strategies to consider a range of demographics is therefore essential to address these disparities. In this study, we propose a novel approach that utilizes influence maximization (IM) on mobility networks to develop vaccination strategies which incorporate demographic fairness. By considering factors such as race, social status, age, and associated risk factors, we aim to optimize vaccine distribution to achieve various fairness definitions for one or more protected attributes at a time. Through extensive experiments conducted on Covid-19 spread in three major metropolitan areas across the United States, we demonstrate the effectiveness of our proposed approach in reducing disease transmission and promoting fairness in vaccination distribution.

Promoting Fair Vaccination Strategies through Influence Maximization: A Case Study on COVID-19 Spread

Human trafficking (HT) for forced sexual exploitation, often described as modern-day slavery, is a pervasive problem that affects millions of people worldwide. Perpetrators of this crime post advertisements (ads) on behalf of their victims on adult service websites (ASW). These websites typically contain hundreds of thousands of ads including those posted by independent escorts, massage parlor agencies and spammers (fake ads). Detecting suspicious activity in these ads is difficult and developing data-driven methods is challenging due to the  hard-to-label, complex and sensitive nature of the data. 

In this paper, we propose T-Net, which unlike previous solutions, formulates this problem as weakly supervised classification. Since it takes several months to years to investigate a case and obtain a single definitive label, we design domain-specific signals or indicators that provide weak labels. T-Net also looks into connections between ads and models the problem as a graph learning task instead of classifying ads independently. We show that T-Net outperforms all baselines on a real-world dataset of ads by 7% average weighted F1 score. Given that this data contains personally identifiable information, we also present a realistic data generator and provide the first publicly available dataset in this domain which may be leveraged by the wider research community.

T-NET: Weakly Supervised Graph Learning for Combatting Human Trafficking

Water distribution systems (WDS) are an integral part of critical infrastructure which is pivotal to urban development. As 70% of the world's population will likely live in urban environments in 2050, efficient simulation and planning tools for WDS play a crucial role in reaching UN's sustainable developmental goal (SDG) 6 - "Clean water and sanitation for all". In this realm, we propose a novel and efficient machine learning emulator, more precisely, a physics-informed deep learning (DL) model, for hydraulic state estimation in WDS. Using a recursive approach, our model only needs a few graph convolutional neural network (GCN) layers and employs an innovative algorithm based on message passing. Unlike conventional machine learning tasks, the model uses hydraulic principles to infer two additional hydraulic state features in the process of reconstructing the available ground truth feature in an unsupervised manner. To the best of our knowledge, this is the first DL approach to emulate the popular hydraulic simulator EPANET, utilizing no additional information. Like most DL models and unlike the hydraulic simulator, our model demonstrates vastly faster emulation times that do not increase drastically with the size of the WDS. Moreover, we achieve high accuracy on the ground truth and very similar results compared to the hydraulic simulator as demonstrated through experiments on five real-world WDS datasets.

Pre-trained Online Contrastive Learning for Insurance Fraud Detection

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Depression Detection via Capsule Networks with Contrastive Learning

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Pre-trained Online Contrastive Learning for Insurance Fraud Detection

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Next from AAAI 2024

Depression Detection via Capsule Networks with Contrastive Learning

Stay up to date with the latest Underline news!

PRESENTATIONS

CONFERENCES

COMPANY

RESOURCES

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