Results 241 to 250 of about 248,035 (295)

Enrollment Assister Perspectives of a Private Health Insurance Program for Undocumented Immigrants.

JAMA Health Forum
Welles CC, Rodriguez MF, Glaros C, Boggs E, Peters R, Schwartz N, Dorsey B, Cervantes L.   +7 more
europepmc   +1 more source

Some of the next articles are maybe not open access.

Related searches:

Fraud Detection in Insurance Claim System: A Review

2022 Second International Conference on Artificial Intelligence and Smart Energy (ICAIS), 2022
Insurance fraud has existed since the inception of insurance companies. These are a wide range of crimes that go undiscovered and cost the insurance business billions of dollars each year.
Sandip Vyas, Shilpa Serasiya
openaire   +2 more sources

Predicting health insurance claim frauds using supervised machine learning technique

2023 Eighth International Conference on Science Technology Engineering and Mathematics (ICONSTEM), 2023
The healthcare sector is growing quickly, making it a complex system. At the same time, fraud in this sector is becoming a serious issue. Misuse of the medical insurance systems is one of the problems.
Veena K, S. S, D. Deepa, J. C. Antony, G. M. Karpura Dheepan, Ayila Sri Dharma Siva Pavan, PagadalaHariprasad   +6 more
semanticscholar   +1 more source

Loco-regional Risk Factors for Acute Stroke Mortality in Korea Based on Claim Data of Health Insurance Review and Assessment Service

Korean Association of Health and Medical Sociology, 2022
We aim to elucidate the discrepancies in acute stroke mortality among primary local governments and identify the risk factors of the mortality at loco-regional level to establish tailored health policies in Korea.
M. Ko, Jun Young Lee, H. Park, J. Jung
semanticscholar   +1 more source

Higher Prevalence of Generalized Pustular Psoriasis in Asia? A Population-Based Study Using Claim Data in China and a Systematic Review

Dermatology, 2023
Background: Few studies have reported the burden of generalized pustular psoriasis (GPP), a severe and potentially life-threatening skin disease, especially at a national level.
Jingnan Feng, Jin-Zhu Guo, Qian Zhang, L. Zhuo, Lu Xu, Lili Liu, Guozhen Liu, Jinxi Wang, Pei Gao, Wen-hui Wang, S. Zhan, Shengfeng Wang   +11 more
semanticscholar   +1 more source

Fraud detection in automobile insurance claims: A statistical review

Developments of Artificial Intelligence Technologies in Computation and Robotics, 2020
Automobile insurance fraud detection has become critically important for reducing the costs of insurance companies. This survey paper categorises, compares, and summarises from almost all published data mining-based technical and review articles in automated automobile insurance fraud detection.
Liu, Xi, Yang, Jian-Bo; id_orcid 0000-0001-8953-1550, Xu, Dong-Ling   +2 more
openaire   +1 more source

Crop Insurance in India: A Review of Pradhan Mantri Fasal Bima Yojana (PMFBY)

FIIB Business Review, 2020
Farmers in India have been the victim of systemic neglect and live a marginalized life. Crop failure due to natural calamities and unfavourable climatic conditions puts farmers in a challenging situation leading to extreme hopelessness and suicides. This
R. Tiwari, K. Chand, Bimal Anjum
semanticscholar   +1 more source

Geographic Market Definition in Commercial Health Insurer Matters: A Unified Approach for Merger Review, Monopolization Claims, and Monopsonization Claims

The Antitrust Bulletin, 2023
We provide a methodology for geographic market definition when the product(s) being purchased or sold has an intrinsic geographic component, such as (1) the sale of commercial health plans and (2) the purchase of health care providers’ services by commercial health plans. In these situations, we show that a straightforward application of the Horizontal
Haas-Wilson, Deborah, Zetenyi, Kristof, Gorin, Brian   +2 more
openaire   +2 more sources

Using Insurance Claims Data and Medical Record Reviews to Assess the Quality of Medical Care

Journal For Healthcare Quality, 1997
This article examines the possibilities and limitations of using computerized insurance claims and outpatient medical records to evaluate a Medicaid managed care program. The quality of medical care delivered to enrollees 1 1/2 years into the MassHealth managed care program's operation is discussed in the context of an evaluation that was conducted by ...
C H, Ellenbecker, L, Wagner, J, Cloutterbuck   +2 more
openaire   +2 more sources