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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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Education and Research Section Sessions at the Spring Health
Education and Research Section Sessions at the Spring Health By Ian Duncan Ian Duncan recaps the Education and Research (E&R) Section sponsored sessions and breakfast at the 2016 SOA ...- Authors: Ian G Duncan
- Date: Oct 2016
- Competency: Technical Skills & Analytical Problem Solving
- Publication Name: Expanding Horizons
- Topics: Actuarial Profession>Qualifications; Actuarial Profession>Professional development; Enterprise Risk Management; Health & Disability>Health care; Social Insurance
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Seeing The Big Picture: ERM In The Health Care Industry
Seeing The Big Picture: ERM In The Health Care Industry Article discussing the use of enterprise risk management in the health care industry. Enterprise risk management=ERM; Seeing The Big ...
- Authors: Robert F Wolf
- Date: Apr 2009
- Competency: External Forces & Industry Knowledge
- Publication Name: The Actuary Magazine
- Topics: Enterprise Risk Management; Health & Disability>Health care