Results 61 to 70 of about 161,189 (267)
Insuring the Uninsured: Reducing the Barriers to Public Insurance [PDF]
, 2006 Health insurance is one of the essential enabling resources to gain access to medical care and ultimately increase health status. Over 11 million or one quarter of the nation’s uninsured individuals are eligible for Medicaid or the State Children’s ...
Saunders, Cynthia M.
core +1 more source
Lifecycle‐Based Governance to Build Reliable Ethical AI Systems
Systems Research and Behavioral Science, EarlyView.ABSTRACT Artificial intelligence (AI) systems represent a paradigm shift in technological capabilities, offering transformative potential across industries while introducing novel governance and implementation challenges. This paper presents a comprehensive framework for understanding AI systems through three critical dimensions: trustworthiness ...
Maikel Leon
wiley +1 more source
Methodology for Detecting Suspicious Claims in Health Insurance Using Supervised Machine Learning
Future InternetHealth insurance fraud (HIF) places a substantial economic burden on global health systems. While supervised machine learning (SML) offers a promising solution for its detection, most approaches are ad hoc and lack a systematic methodological framework ...
Jose Villegas-Ortega +5 more
doaj +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
Iowa Department of Commerce, Iowa Insurance Division Performance Report, FY 2006 [PDF]
, 2006 Agency Performance ...
core
World Medical &Health Policy, EarlyView.ABSTRACT Population aging is a problem that countries around the globe are facing; it comes with complex healthcare needs. Different countries take different approaches to solving these issues. In the United States, proposed legislation related to hospice and palliative care emerged from a history of hospice fraud and specialty physician shortages.
Edith‐Marie Green
wiley +1 more source
Jurnal Jaminan Kesehatan NasionalFraud in the implementation of the National Health Insurance program poses a significant challenge to hospital governance in Indonesia, resulting in financial losses and eroding public trust in healthcare services.
Silmi Noor Rachni +1 more
doaj +1 more source
Semi-Annual Report to Congress for the Period of April 1, 2009 to September 30, 2009 [PDF]
, 2009 [Excerpt] I am pleased to submit this Semiannual Report to Congress, which highlights the most significant activities and accomplishments of the U.S. Department of Labor, Office of Inspector General (DOL-OIG), for the six-month period ending September 30,
Office of the Inspector General
core +1 more source
Journal of the Royal Anthropological Institute, EarlyView.This article analyses a new wealth tax (the IGF) in Bolivia against the backdrop of the 2019 ousting of former president Evo Morales. In doing so, it engages calls for ‘a return to politics’ in anthropology by proposing the notion of a ‘fiscal grievance politics’ as animating elite opposition to the tax in lowland Santa Cruz department. I show that the
Charles Dolph
wiley +1 more source
Semi-Annual Report to Congress for the Period of October 1, 2002 to March 31, 2003 [PDF]
, 2001 [Excerpt] It is a privilege to transmit this Semiannual Report to the Congress covering the period October 1, 2002, through March 31, 2003, summarizing the significant audit and investigative activities of the Office of Inspector General (OIG), U.S ...
Office of the Inspector General
core +7 more sources