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

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Do the right thing?

When former US Senator Tom Daschle spoke at the recent SAS Health Care and Life Sciences Executive Conference, he opined on the legal fate of the Affordable Care Act by quoting Winston Churchill: “You can always count on Americans to do the right thing – after they’ve tried everything else.”

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Daschle: US politics must afford mandate debate

Even a year after President Obama signed it into law, support – or lack thereof – for the Affordable Care Act, or “health care reform,” continues to fuel political debate in the US. And, as former US Senate Majority Leader Tom Daschle noted last week during the SAS Health Care

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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