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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

Data Visualization
Sanjay Matange 0
Clinical Graphs

This week I had the opportunity to present a 1/2 day seminar on creating clinical graphs using the SG procedures during an In-House SAS Users' group meeting.  I have presented this seminar quite a few times now, and I always learn something. The audience was very receptive, with some people

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