Results 121 to 130 of about 161,189 (267)

City Digitalization and Corporate Financial Fraud: An Information Asymmetry Perspective

Journal of Management Studies, EarlyView.
Abstract One pivotal driver of corporate financial fraud is the information asymmetry between cooperative executives and external stakeholders. We propose that city‐level digitalization can mitigate such information asymmetry and deter financial fraud of local firms.
Lu Shen, Kevin Zheng Zhou, Daokang Luo
wiley   +1 more source

Exploratory study of factors influencing fraud in the national health service in Buton Islands from a hexagon model perspective

Healthcare in Low-resource Settings
Fraud in National Health Insurance of Indonesia, known as Jaminan Kesehatan Nasional (JKN) services, is a problem that can potentially occur in all hospitals in Indonesia. This research aims to explore the factors that influence the occurrence of fraud
Andi Yaumil Bay R. Thaifur
doaj   +1 more source

An Interpretable Model for Health-care Insurance Fraud Detection

Abstract Healthcare insurance fraud imposes a significant financial burden on healthcare systems worldwide, with annual losses reaching billions of dollars. This study aims to improve fraud detection accuracy using machine learning techniques.
Zeyu Wang, Xiaofang Chen, Yiwei Wu, Shiming Lin, Linke Jiang, Gang Qiu   +5 more
openaire   +1 more source

Leave the Token, Take the Gavel: How National Quotas and Corporate Ownership Shape Gender Diversity on Major Board Committees

Journal of Management Studies, EarlyView.
Abstract While gender diversity on boards of directors (BODs) has recently increased, gender diversity on major board committees (MBCs), which influence board decision‐making directly, has advanced more slowly. Our study therefore delves into the antecedents of gender diversity on MBCs.
Patricio Duran, Roxana Turturea, Pursey P. M. A. R. Heugens, Jean‐Luc Arregle, Marc van Essen   +4 more
wiley   +1 more source

Fraud Detection and Providing Mitigation Solutions in Iran Health Insurance Organization [PDF]

بیمارستان
Background and purpose: Abuse within health insurance systems represents a significant challenge for health systems globally, leading to substantial negative repercussions.
Milad Mehri, Mohammad Efatpanah, Ebrahim Jaafaripooyan, Mohammad Arab   +3 more
doaj  

Preventing, Detecting, and Deterring Fraud in Social Health Insurance Programs

, 2018
This paper draws lessons from anti-fraud experiences in social health insurance programs of six selected countries across the income spectrum: Indonesia, the Philippines, Republic of Korea, Croatia, Turkey, and the United States.
Chabra, Sheena, Menon, Rekha, Postolovska, Iryna, Smith, Owen, Tandon, Ajay, Ulep, Val   +5 more
openaire   +2 more sources

Fighting Cybercrime After \u3cem\u3eUnited States v. Jones\u3c/em\u3e [PDF]

, 2013
In a landmark non-decision last term, five Justices of the United States Supreme Court would have held that citizens possess a Fourth Amendment right to expect that certain quantities of information about them will remain private, even if they have no ...
Citron, Danielle Keats, Clark Rinehart, Liz, Gray, David C.   +2 more
core   +1 more source

Institutional Logics as a Resource and Risk: Logic Deviance and Categorical Penalties in US Community Banks

Journal of Management Studies, EarlyView.
Abstract Can institutional logics be damaging for the same category of actors they are presumed to benefit? Can firms prevent or reduce this detrimental effect? This study integrates the institutional logics perspective with category research to examine these questions in the context of community banks.
Stephen J. Smulowitz, Horacio E. Rousseau, Pino G. Audia   +2 more
wiley   +1 more source

Efficient Handling of Data Imbalance in Health Insurance Fraud Detection Using Meta-Reinforcement Learning

IEEE Access
Data imbalance is one of the major challenges in health insurance fraud detection where the distribution of classes within the dataset is significantly skewed, leading statistical models to be biased toward the dominant class.
Supriya Seshagiri, K. V. Prema
doaj   +1 more source

Welfare consequences of the compound risks of index insurance

Journal of Risk and Insurance, EarlyView.
Abstract Index insurance is an attractive variant on the standard insurance contract that allows the determination of a loss event to be defined by one or more thresholds on an index that is positively correlated with actual losses. Index insurance also comes with a compound risk, basis risk.
Glenn Harrison, Jimmy Martí­nez‐Correa, Karlijn Morsink, Jia Min Ng, J. Todd Swarthout   +4 more
wiley   +1 more source