Results 51 to 60 of about 161,871 (263)
A Continuous Theory of Income Insurance [PDF]
In this paper we treat an individual’s health as a continuous variable, in contrast to the traditional literature on income insurance, where it is regularly treated as a binary variable.
Lindbeck, Assar, Persson, Mats
core +3 more sources
Proceedings of the International Florida Artificial Intelligence Research Society Conference, 2021 Every year, health insurance fraud costs taxpayers billions of dollars and puts patient’s health and welfare at risk. Existing solutions to detect fraudulent providers (hospitals, physicians, etc.) aim to find unusual pattern at claim level features but ...
Nitish Kumar +5 more
doaj +1 more source
Using Benford\u27s Law to Detect Fraud in the Insurance Industry [PDF]
, 2002 Benford\u27s Law is the mathematical phenomena that states that the first digits or left most digits in a list of numbers will occur with an expected logarithmic frequency.
Akers, Michael D., Maher, Meredith
core +1 more source
A Fraud Detection System for Health Insurance in Nigeria
Journal of Health Informatics in Africa, 2020 Background and Purpose: This research developed a Fraud Detection System for National Health Insurance Scheme (NHIS) in Nigeria. This was with a view to addressing the fraudulent activities of some stakeholders in NHIS; as many researches have proven that the lack of appropriate tools to do this has negatively affected service providers as well as the ...
openaire +1 more source
Elaborating the Motivations and Attitudes Driving Interest in Voluntary Biodiversity Credits
Business Strategy and the Environment, EarlyView.ABSTRACT Global biodiversity loss has prompted the search for new sources of conservation finance, such as voluntary biodiversity credits (VBCs). However, despite optimistic market projections, current uptake of VBCs is limited. Adopting an interpretive approach, we analyse 21 semistructured interviews with early market actors (buyers, sellers ...
Gamze Yakar‐Pritchard +5 more
wiley +1 more source
Beyond the ESG Facade: Measuring and Addressing Corporate ‘Lip Service’
Business Strategy and the Environment, EarlyView.ABSTRACT Amid growing global attention to environmental, social and governance (ESG), this study examines the misalignment between ESG disclosures and actual practices—termed ‘lip service’—using data from Chinese firms from 2006 to 2022, constructing an index to quantify it.
Jia Xu, Mingwei Liu, Helen X. H. Bao
wiley +1 more source
, 2009 Provides an overview of trends in fraud and abuse involving private insurance, Medicaid, and Medicare; types of schemes; risk factors; and consequences.
Nancy Lopez +2 more
core
Business Strategy and the Environment, EarlyView.ABSTRACT Although ESG controversies are on the rise, research investigating them yields contradictory findings. The paper provides resolutions to the debate through investigating (a) how ESG controversies influence firms' short‐term and long‐term financial performance; (b) how firms navigate ESG controversies' effect; and (c) how ESG controversies ...
Amalesh Sharma +3 more
wiley +1 more source
A Review On Health Insurance Claim Fraud Detection
, 2018 Abstract— The anomaly or outlier detection is one of the applications of data mining. The major use of anomaly or outlier detection is fraud detection. Health care fraud leads to substantial losses of money each year in many countries. Effective fraud detection is important for reducing the cost of Health care system.
Faseela V. S, Dr.P.Thangam
openaire +1 more source
Business Strategy and the Environment, EarlyView.ABSTRACT Research on ESG controversies has expanded rapidly, but findings remain fragmented and lack a unifying perspective. This study conducts a PRISMA‐guided, framework‐based systematic review of 68 empirical articles published between 2018 and 2025 (May) to synthesize the main determinants and consequences of ESG controversies.
Cristina Alexandrina Ştefănescu +1 more
wiley +1 more source