Results 91 to 100 of about 577,934 (272)

SYSTEM FOR DETECTION OF NATIONAL HEALTHCARE INSURANCE FRAUD BASED ON COMPUTER APPLICATION

Public Health of Indonesia, 2018
Background: The national healthcare insurance (JKN) has been in deficit since 2014-2016; one of the causes is fraud inpatient hospital service. Objective: This study aimed to analyze the validity, reliability and effectiveness of detection system of ...
Budi Santoso, Julita Hendrartini, Bambang Udji Djoko Rianto, Laksono Trisnantoro   +3 more
doaj   +1 more source

Religious politics and the limits of redistribution: The rise and fall of family allowances in Spain, 1926–58

The Economic History Review, EarlyView.
Abstract After the Second World War, family allowances became a cornerstone of social spending in western Europe. Whilst religion is often highlighted as a driver of this policy, the role of political Catholicism remains contested, particularly in southern Europe.
Guillem Verd‐Llabrés
wiley   +1 more source

Decision Support System (DSS) for Fraud Detection in Health Insurance Claims Using Genetic Support Vector Machines (GSVMs)

Journal of Engineering, 2019
Fraud in health insurance claims has become a significant problem whose rampant growth has deeply affected the global delivery of health services. In addition to financial losses incurred, patients who genuinely need medical care suffer because service ...
Robert A. Sowah, Marcellinus Kuuboore, Abdul Ofoli, Samuel Kwofie, Louis Asiedu, Koudjo M. Koumadi, Kwaku O. Apeadu   +6 more
doaj   +1 more source

DETECTING FUNERAL INSURANCE FRAUD

International Journal For Multidisciplinary Research
This study investigates the application of data mining techniques specifically the J48 Pruned and Random Forest algorithms for detecting fraudulent funeral insurance claims at A Funeral Parlor in Zimbabwe. Using WEKA software and data from 2020–2024, J48 achieved 99% accuracy, revealing strong fraud indicators including short policy durations, cash ...
TAPIWANASHE MAKANI, KUDZAI GUZURA
openaire   +1 more source

Social Justice as a Catalyst for Ecumenical Engagement

The Ecumenical Review, EarlyView.
Abstract This article provides a comprehensive overview of the historical formation of the Federal Council of Churches of Christ in America (FCC), examining the social and political context in the United States that shaped its adoption of ecumenical practices focused on social justice.
Geneva Blackmer
wiley   +1 more source

The Public's Self-Avoidance and Other-Reliance in the Reporting of Medical Insurance Fraud: A Cross-Sectional Survey in China. [PDF]

Risk Manag Healthc Policy, 2023
Xu J, Tian G, He J, Deng F, Chen F, Shi Q, Liu J, Zhang H, Zhang T, Wu Q, Kang Z.   +10 more
europepmc   +1 more source

The Role of ESG in Shaping the Impact of Financial Development on Banks' Performance

European Financial Management, EarlyView.
ABSTRACT This study investigates how financial development, divided into financial markets and financial institutions, affects banks' performance across 93 financially developed countries during the period between 2008 and 2023. The analysis highlights the role of environmental, social and governance readiness as core determinants that reshape ...
Noman Arshed, Yassine Bakkar, Marco De Sisto, Mubasher Iqbal, Shajara Ul‐Durar   +4 more
wiley   +1 more source

Do Banks Learn From Natural Disasters? Evidence From the U.S. Financial Sector

European Financial Management, EarlyView.
ABSTRACT This paper examines whether U.S. banks learn from natural disasters. We explore several potential channels of adjustment and find that exposed banks primarily respond by adopting precautionary capital measures. This behaviour is evident both in the long run, when assessing divergent trends in the evolution of equity over time, and in the short
Dennis Dreusch, Gunnar Niemann, Peter Reichling   +2 more
wiley   +1 more source

The Role of Media in Regulatory Oversight: Evidence From Comment Letters

Financial Review, EarlyView.
ABSTRACT This study examines how media coverage impacts regulatory oversight of publicly listed firms. We find that Chinese firms with greater media attention, particularly those with negative media coverage, are more likely to receive increased regulatory oversight, as indicated by comment letters issued by stock exchanges.
Yizhe Dong, Yaorong Liu, Meng Wang, Gaofeng Zou   +3 more
wiley   +1 more source

Audit Partner Tenure and Audit Fees: The Role of Regulatory Disclosure Requirements in Western Europe

International Journal of Auditing, EarlyView.
ABSTRACT This paper examines the role of country‐level regulatory disclosure requirements in moderating the relationship between audit partner tenure and audit fees. Using a sample of publicly listed companies in Western Europe, our findings reveal that audit partners with longer tenure charge higher fees, reflecting their incremental contribution to ...
Adam Aoun, Cédric Poretti
wiley   +1 more source