Results 41 to 50 of about 565,970 (312)

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

High Healthcare Utilization Preceding Diagnosis with Juvenile Idiopathic Arthritis

Arthritis Care &Research, Accepted Article.
Objective Though early diagnosis improves long‐term outcomes, Juvenile Idiopathic Arthritis (JIA) patients often experience prolonged, circuitous paths to diagnosis. To inform diagnostic improvement, we sought to characterize healthcare utilization in the year preceding diagnosis.
Anna Costello, Rui Xiao, Xuemei Zhang, Jahan Jazayeri, Irit R Rasooly, Pamela F Weiss   +5 more
wiley   +1 more source

Book Review of Daniel G. Baldyga\u27s: How to Settle Your Own Insurance Claim [PDF]

, 1969
How to Settle tries to exploit the same vein mined in spectacular fashion by Norman F. Dacey, who parlayed deep dissatisfaction with the probate system and popular resentment of lawyers into a runaway best-seller.
Page, Joseph A.
core   +1 more source

The Role of Coordination Mechanisms and Transaction Costs Promoting Sustainability Performance in Agri‐Food Supply Chains: Evidence From Ecuador

Agribusiness, EarlyView.
ABSTRACT Social tensions and resource depletion pose significant challenges to the agri‐food sector, highlighting the need for coordinated strategies to ensure sustainability in supply chains. Despite its critical importance, the relationship between coordination mechanisms and sustainability performance remains underexplored.
Carlos Moreno‐Miranda, Liesbeth Dries
wiley   +1 more source

“Judicial Hellholes:” Medical Malpractice Claims, Verdicts, and the “Doctor Exodus” in Illinois [PDF]

, 2006
In this paper, we consider the problem of estimating and testing a general linear hypothesis in a general multivariate linear model, the so called Growth Curve model, when the pN observation matrix is normally distributed with an unknown covariance ...
MacKillop, Kara, Vidmar, Neil
core   +2 more sources

Effect of single tablet regimen on prescription trends for treatment-naïve patients with HIV/AIDS in Korea

Scientific Reports, 2022
Single-tablet regimens (STRs) should be considered for patients with HIV/AIDS to increase medication compliance and improve clinical outcomes. This study compared variations in the prescription trends between STRs and multiple-tablet regimens (MTRs) for ...
Kyung Sun Oh, Gi Hyeon Seo, Hee Kyoung Choi, Euna Han   +3 more
doaj   +1 more source

Creating Shared Value as an Antecedent of Value Co‐Creation: B2B Relationships in the Agri‐Food Sector

Agribusiness, EarlyView.
ABSTRACT This study analyzes the effects of value co‐creation and creation of shared value in agricultural input marketing. This study used a sample of 178 agricultural companies in Costa Rica. The data were analyzed using partial least squares structural equation modeling (PLS‐SEM) with SMART PLS software. Our findings reveal the significant influence
Luis Ricardo Solís‐Rivera, Marcelo Royo‐Vela   +1 more
wiley   +1 more source

Rising Pancreatic Cancer Incidence in Young Japanese Women and Increasing Distal Pancreatectomy in Older Adults: A Nationwide Claims‐Based Analysis From 2016 to 2023

Annals of Gastroenterological Surgery, EarlyView.
This nationwide claims‐based study analyzed recent trends in pancreatic cancer incidence (2016–2021) and surgery (2016–2023) in Japan. The study revealed a rising incidence of pancreatic cancer, notably among young women, and an increasing use of distal pancreatectomy among older adults.
Masamitsu Kido, Ryo Morimura, Yusuke Yamamoto, Tomohiro Arita, Shingo Nakashima, Katsutoshi Shoda, Taisuke Imamura, Hidemasa Kubo, Kengo Yoshii, Iichiroh Onishi, Atsushi Shiozaki   +10 more
wiley   +1 more source

Building Loss Models [PDF]

This paper is intended as a guide to building insurance risk (loss) models. A typical model for insurance risk, the so-called collective risk model, treats the aggregate loss as having a compound distribution with two main components: one characterizing ...
Joanna Janczura, Krzysztof Burnecki, Rafal Weron   +2 more
core   +3 more sources

Analysis of characteristics of patients whose sugammadex claims were denied by the Auto Insurance Claims Review Department of Korean Health Insurance Review & Assessment Service: a retrospective single-center review

Anesthesia and Pain Medicine
Background: Recently, there have been many cases where sugammadex used in traffic accident patients has been deducted from auto insurance claims. This study aims to investigate the characteristics of sugammadex deductions through retrospective analysis.Methods: We included patients who underwent general anesthesia after traffic accidents at our ...
Hwa Song Jong, Ki Tae Jung
openaire   +2 more sources