Results 61 to 70 of about 565,970 (312)

Healthcare Utilization Monitoring System in Korea [PDF]

Healthcare Informatics Research, 2015
ObjectivesIt is important to monitor the healthcare utilization of patients at the national level to make evidence-based policy decisions and manage the nation's healthcare sector.
Hyun Chul Shin, Young-Taek Park, Youn Tae Lee, Emmanuel C. Jo   +3 more
doaj   +1 more source

Physicians’ perception of the reform of the review and assessment system of national health insurance reimbursement claims

Journal of the Korean Medical Association, 2022
Background: The Korean government has been promoting the reform of the review and assessment system of national health insurance reimbursement claims. The aim of this study was to find out physicians’ perception and evaluation of the health insurance review and assessment system and present the direction for the government’s reform plan.Methods: The ...
Jung Chan Lee, Kye Hyun Kim
openaire   +1 more source

Large Language Model‐Based Chatbots in Higher Education

Advanced Intelligent Systems, Volume 7, Issue 3, March 2025.
The use of large language models (LLMs) in higher education can facilitate personalized learning experiences, advance asynchronized learning, and support instructors, students, and researchers across diverse fields. The development of regulations and guidelines that address ethical and legal issues is essential to ensure safe and responsible adaptation
Defne Yigci, Merve Eryilmaz, Ail K. Yetisen, Savas Tasoglu, Aydogan Ozcan   +4 more
wiley   +1 more source

Medical Knowledge Graph to Enhance Fraud, Waste, and Abuse Detection on Claim Data: Model Development and Performance Evaluation

JMIR Medical Informatics, 2020
BackgroundFraud, Waste, and Abuse (FWA) detection is a significant yet challenging problem in the health insurance industry. An essential step in FWA detection is to check whether the medication is clinically reasonable with respect to the diagnosis ...
Sun, Haixia, Xiao, Jin, Zhu, Wei, He, Yilong, Zhang, Sheng, Xu, Xiaowei, Hou, Li, Li, Jiao, Ni, Yuan, Xie, Guotong   +9 more
doaj   +1 more source

A guide for the utilization of Health Insurance Review and Assessment Service National Patient Samples [PDF]

Epidemiology and Health, 2014
The claims data of the Health Insurance Review and Assessment Service (HIRA) is an important source of information for healthcare service research.
Logyoung Kim, Jee-Ae Kim, Sanghyun Kim
doaj   +1 more source

The Cost of Legal Restrictions on Experience Rating [PDF]

, 2020
We investigate the cost of legal restrictions on experience rating in auto and home insurance. The cost is an opportunity cost as experience rating can mitigate the problems associated with unobserved heterogeneity in claim risk, including mispriced ...
Barseghyan, Levon, Molinari, Francesca, Morris, Darcy Steeg, Teitelbaum, Joshua C.   +3 more
core   +1 more source

Work Disability, Early Retirement, and Loss of a Loved One in the World Trade Center Health Registry Cohort

American Journal of Industrial Medicine, EarlyView.
ABSTRACT Background Existing research on the economic outcomes of 9/11 remains limited and has primarily focused on early retirement. Little is known about the prevalence of work disability and loss of a loved one and whether they are associated with survey attrition.
Jennifer Brite, Matthew Di Vitto, Janna Metzler   +2 more
wiley   +1 more source

Blockchain-enabled tokenization for health insurance claims: trends, challenges, and future directions

Frontiers in Blockchain
The vaccine of blockchain technology has quickly altered the processing, validation, and settlement of health insurance claims by bringing transparency, automation, and tamper-proof data exchange.
Bhawana Tyagi, Naga Priyadarsini R, Priyadharsini M, Vimal Dwivedi   +3 more
doaj   +1 more source

Determination of utilization in a dental insurance plan [PDF]

, 1990
Thesis (M.Sc.D.)--Boston University. Henry M. Goldman School of Graduate Dentistry, 1990 (Public Health Dentistry)Bibliography: leaves 39-40.The objective of this study was to determine and compare the dental care utilization of 37,000 New England ...
Zafarmand, A. Hamid
core  

Measuring Healthcare Workers' Workplace Violence Exposure Over Time Using Workers' Compensation Claims

American Journal of Industrial Medicine, EarlyView.
ABSTRACT Background Workplace violence towards healthcare workers impacts workforce stability and patient care delivery. California passed a workplace violence prevention standard, phased in during 2017‐2018, requiring enhanced tracking and training in healthcare workplaces.
Rachel Odes, Soo‐Jeong Lee, OiSaeng Hong, Wan‐chin Kuo   +3 more
wiley   +1 more source