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Validating a Novel Health Insurance Fraud Detection Method
detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for fraud detection ... Health care fraud;Predictive modeling;Medicare;Health insurance;Health economics;Health care costs;Data ...- Authors: Robert D Lieberthal, Elias
- Date: Aug 2018
- Competency: External Forces & Industry Knowledge>Actuarial methods in business operations; Strategic Insight and Integration>Effective decision-making; Technical Skills & Analytical Problem Solving>Incorporate risk management; Technical Skills & Analytical Problem Solving>Innovative solutions; Technical Skills & Analytical Problem Solving>Problem analysis and definition; Technical Skills & Analytical Problem Solving>Process and technique refinement
- Publication Name: Risk Management
- Topics: Economics>Health economics; Enterprise Risk Management; Health & Disability>Health care; Health & Disability>Health care quality; Health & Disability>Health information technology; Health & Disability>Health insurance; Health & Disability>Public financing - Health & Disability; Modeling & Statistical Methods>Data mining; Predictive Analytics
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Examining Predictive Modeling–Based Approaches to Characterizing Health Care Fraud
Characterizing Health Care Fraud This research report provides an evaluation and synthesis of the methodologies ... characterizing health care fraud. health insurance;health care;predictive modeling;Health care Fraud 6442481349 ...- Authors: Society of Actuaries, JING AI, Robert D Lieberthal, Rachel Wojciechowski, Skyla Smith
- Date: Mar 2018
- Competency: External Forces & Industry Knowledge
- Topics: Health & Disability>Health care; Health & Disability>Health insurance
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The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition
The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition Diabetes mellitus ... excellent model for assessing the setup of medical coverage in the U.S. health care system. It is a chronic ...- Authors: Robert D Lieberthal
- Date: Mar 2005
- Competency: Communication>Persuasive communication; External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Topics: Actuarial Profession>Competencies; Economics; Health & Disability>Health care; Health & Disability>Health insurance
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Abstract: The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition
Abstract: The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition This is the abstract ... abstract for the paper, The Cost and Benefits of Treating Type 2 Diabetes Mellitus as a Chronic Condition ...- Authors: Robert D Lieberthal
- Date: Mar 2005
- Competency: Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Topics: Experience Studies & Data>Morbidity; Experience Studies & Data>Mortality; Health & Disability>Health care