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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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Human Nature and the US Health Care System, Part I
Human Nature and the US Health Care System, Part I The third in a series of four articles that illustrate the “soft” approach of game theory using Thucydides’ master work, The History of the ...- Authors: Carlos Eduardo Fuentes
- Date: Feb 2018
- Competency: External Forces & Industry Knowledge>External forces and business performance; External Forces & Industry Knowledge>General business skills; Strategic Insight and Integration>Big picture view; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Innovators & Entrepreneurs
- Topics: Economics>Health economics; Health & Disability>Health care; Health & Disability>Health insurance
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Financial Decision-Making Theory and the Small Employer Health Insurance Market in Texas
Financial Decision-Making Theory and the Small Employer Health Insurance Market in Texas This paper describes in detail each of five options available to small Texas employers wanting to purchase ...- Authors: Bonnie Albritton
- Date: Oct 2006
- Competency: External Forces & Industry Knowledge>External forces and business performance; Technical Skills & Analytical Problem Solving>Problem analysis and definition
- Publication Name: Actuarial Practice Forum
- Topics: Economics>Health economics; Health & Disability>Health insurance