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Analytics
Jon Lemon 0
Four-step approach to government fraud detection

Every day there are news stories of fraud perpetrated against federal government programs. Topping the list are Medicaid and Medicare schemes which costs taxpayers an estimated $100 billion a year. Fraud also is rampant in other important federal programs, including unemployment and disability benefits,  health care, food stamps, tax collection,

Programming Tips
Grace Whiteis 0
SAS arrays—be not afraid!

Arrays are a powerful SAS programming tool. They can be used to simplify coding for repetitive calculations, to transpose data and to evaluate variables in a non-sequential manner. Sometimes users are intimidated by the term array, but in SAS, an array is simply a grouping of variables that lasts for

Analytics | Fraud & Security Intelligence
John Stultz 0
Is predictive analytics misguiding your fraud detection efforts?

When it comes to fraud detection and risk mitigation, predictive modeling has earned a reputation as the “heavy hitter” in the realm of data analytics.  As our celebration of International Fraud Awareness Week continues, I would challenge our readers to ask themselves this question, “Is the reliance upon predictive analytics

Data for Good | Data Visualization
Tom Morse 0
Patient-centered health care in the new health economy

Today’s healthcare system is under tremendous pressure to reduce overall costs without losing track of the patient. Legislative changes and challenging economic realities make it increasingly difficult to deliver both improved outcomes and cost savings for the most complex patients. The Physicians Pharmacy Alliance (PPA) recognizes the changing healthcare landscape

Analytics | Fraud & Security Intelligence
Ricky D. Sluder, CFE 0
Data Mining: A Medicaid Fraud Control Unit's best weapon in the fight against health care fraud

On a cold and wet December morning in 2008, at approximately 1:30 AM, I pulled into the parking lot of an abandoned supermarket in Arlington, TX.  With sleet pelleting my windshield, I saw three additional sets of headlights enter into the parking lot from different directions.  All three cars converged

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