Health Care

Alison Bolen 0
What are the benefits of big data in health care?

What is the solution for patient-centric healthcare? Big data, says SAS expert Alice Swearington in the post, Treat patients with big data insights. "Service providers throughout the healthcare continuum that become patient centric first will win the patient," she explains, citing the industry tends toward insurance exchanges and retail insurance

Data for Good
Ross Kaplan 0
Is it fraud or abuse?

When discussing fraud and abuse, it often (very often) becomes a philosophical discussion of whether aberrant activities are fraudulent or abusive. The quick difference being that fraudulent is intentional and abuse is not.  The distinction quickly becomes an issue of legal and illegal as opposed to right and wrong. What

Ross Kaplan 0
The value of outside information

Most health care organizations either intentionally or due to some inability don’t use outside information (not just referals) in their search for fraud.  There are great numbers of valid reasons for this: HIPAA, security, usable/current data sources, inflexible information systems or processes, restrictive compliance & IT departments, and the list

Data for Good
Ross Kaplan 0
Health care fraud is on the rise

In the health care field, the impact of fraud, waste and abuse on payers -- whether insurance companies, government agencies or self-insured employers -- is enormous. Fraud losses weaken a payer’s financial position, with fraud loss estimates rivaling net income. Fraud losses feed the escalating care cost curve, undermining a

Data for Good
Rick Ingraham 0
Who is providing care?

As I head over to Moscone Friday morning, I keep thinking about one statistic I heard yesterday as presented by Dr. Sobel, The Permanente Medical Group: Who provides the largest source of care provision in the US? You do! 80% of all primary care is self-care. In today's age of

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