Results 31 to 40 of about 161,871 (263)
Confronting corruption in the health sector in Vietnam: patterns and prospects [PDF]
, 2011 This repository item contains a single issue of the Health and Development Discussion Papers, an informal working paper series that began publishing in 2002 by the Boston University Center for Global Health and Development.
Brinkerhoff, Derick +4 more
core +2 more sources
Journal of Medical Internet ResearchBackgroundHealth care insurance fraud is on the rise in many ways, such as falsifying information and hiding third-party liability. This can result in significant losses for the medical health insurance industry.
Rima Kaafarani +2 more
doaj +1 more source
Deep Learning for Fraud Prediction in Preauthorization for Health Insurance
International Journal of Engineering and Advanced Technology, 2022 Health insurance fraud remains a global menace despite the controls implemented to address it; one of such controls is preauthorization. Although, preauthorization promises reduction in fraud, waste and abuse in healthcare, it places undue administrative burden on healthcare service providers and delay in patient care.
Aishat Salau +2 more
openaire +1 more source
Why Not Blow the Whistle on Health Care Insurance Fraud? Evidence from Jiangsu Province, China
Risk Management and Healthcare Policy, 2022 Dandan Wang, Changchun Zhan School of Management, Jiangsu University, Zhenjiang, People’s Republic of ChinaCorrespondence: Changchun Zhan, Tel +86-15952808385, Email Zcc1973@126.comPurpose: To identify the factors that influence whistleblowing behavior ...
Wang D, Zhan C
doaj
Analisis Faktor Internal dan Eksternal sebagai Bahan Penyusun Strategi Pencegahan Fraud Dana Kapitasi Puskesmas di Kota Semarang [PDF]
, 2015 National Health Insurance Programme (JKN) is part of National Social Insurance System (SJSN) which is held by mandatory social health insurance based on regulation number 40 year 2004.
Arso, S. P. (Septo) +2 more
core
Australian Journal of Social Issues, EarlyView.ABSTRACT The Robodebt scheme issued thousand‐dollar debts to an estimated half a million people who had received social security. The debts were largely inaccurate and illegal, with the aim of improving the federal government's budget. The 2023 Royal Commission into the Robodebt Scheme found that the stigmatising political and public language about ...
Ella Kruger, Phillipa Evans
wiley +1 more source
Risk Management and Healthcare Policy, 2023 Jinpeng Xu,1 Guomei Tian,2 Jingran He,1 Fangmin Deng,1 Fangting Chen,1 Qi Shi,1 Jian Liu,1 Hongyu Zhang,1 Ting Zhang,1 Qunhong Wu,1 Zheng Kang1 1School of Health Management, Harbin Medical University, Harbin, People’s Republic of China; 2Department of ...
Xu J +10 more
doaj
Jurnal Jaminan Kesehatan Nasional, 2021 The Minister of Health Regulation (PMK) Number 16 of 2019 concerning Fraud Prevention in the National Health Insurance Program (JKN) as a substitute for Minister of Health Regulation Number 36 of 2015 is still being evaluated and studied in its ...
Dina Anjayani
doaj +1 more source
Electronic fraud detection in the U.S. Medicaid Healthcare Program: lessons learned from other industries [PDF]
, 2011 It is estimated that between $600 and $850 billion annually is lost to fraud, waste, and abuse in the US healthcare system,with $125 to $175 billion of this due to fraudulent activity (Kelley 2009).
Hillegersberg, Jos van +3 more
core +3 more sources
The Cost of the National Disability Insurance Scheme: Australia's Print‐Media Discourse
Australian Journal of Social Issues, EarlyView.ABSTRACT This paper examines the way that Australian newspapers have framed the cost of the National Disability Insurance Scheme (NDIS). Introduced in 2013, the NDIS represented a major change in Australia's disability support policy, moving for the first time to a nationwide universal insurance model.
Meera Chinnappa +2 more
wiley +1 more source