Examining Predictive Modeling Based Approaches for Characterizing Health Care Fraud

April 26, 2018


Technical Skills & Analytical Problem Solving


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Presented by

Health Section


Noon–1:15 p.m. ET


This webcast takes place via the Internet.

Registration Fees

Registration is now closed. The SOA Customer Service Center is available to assist you Monday through Friday, 8:00 a.m. to 5:00 p.m. CDT. Please call +1-888-697-3900.

Who Should Participate

Actuaries who work in the academic, consulting or health care industry. Section members of: Actuary of the Future, Education & Research, Joint Risk Management, Modeling, Smaller Insurance Company, Social Insurance & Public Finance Health or Technology Sections of the Society of Actuaries (SOA).


Fraud is a problem affecting all lines of insurance. Due to the level of health care spending in the U.S. and number of third-party payments coming from government programs, health care fraud is a problem for health insurance and certain policy makers.  This presentation examines previously developed data analytical methodologies that actuaries and others can use to find and deter health care fraud. Our presentation will identify a number of these methods and develop a tool for actuaries to identify systems for plans they manage. The presentation will also include an opportunity to examine the future of fraud detection and for questions from the audience.

How the live webcast works and what it includes

You do not need any special equipment. On April 25, 2018, before 2:00 p.m. ET you will be sent detailed webcast instructions via email including the Web address for accessing the live-streaming broadcast presentation. Any handouts that are available will also be sent.

Please review the  technical requirement sheet for the webcast platform with your IT department and make sure there aren’t firewall issues with audio streaming through your computers. You can test your computer using the following  link to ensure the audio streaming is working properly.

In addition, if you have Windows 7, we recommend using Firefox, Chrome or Edge - not Internet Explorer 11 – in order to avoid problems with streaming audio.