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Validating a Novel Health Insurance Fraud Detection Method
Validating a Novel Health Insurance Fraud Detection Method This article describes methodologies for detection and deterrence of Medicare fraud. It also describes the validation of PRIDIT for ...- 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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Influenza Pandemics: Are We Ready for the Next One? What Actuaries Can Learn From 1918
Influenza Pandemics: Are We Ready for the Next One? What Actuaries Can Learn From 1918 This article discusses the causes of the 1918 influenza pandemic, the reasons it occurred and the likelihood ...- Authors: Max Rudolph
- Date: Jul 2004
- Competency: External Forces & Industry Knowledge; Technical Skills & Analytical Problem Solving
- Publication Name: Risk Management
- Topics: Global Perspectives; Health & Disability
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Estimating Probability of a Cyber-Security Breach
Estimating Probability of a Cyber-Security Breach The purpose of this paper is to define a predictive model, based on known system attributes, for assessing risk associated with information ...- Authors: Society of Actuaries, Arkady Shemyakin, Meghan Anthony, Maria Ishmael, Erik William Santa, Natalie Vandeweghe, Gary Stanull
- Date: Dec 2016
- Competency: Strategic Insight and Integration
- Publication Name: Risk Management
- Topics: Enterprise Risk Management; Health & Disability>Health information technology; Modeling & Statistical Methods>Bayesian methods; Predictive Analytics; Technology & Applications>Analytics and informatics