SAS Blogs

Data for Good

See how data is being used to address humanitarian issues around the world

Ross KaplanNovember 1, 2011 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

Health Care

Analytics | Data for Good

Alison BolenAugust 18, 2011 0

Humble listening: an interview with the first SAS Chief Medical Officer

As part of the staffing efforts for the new SAS Center for Health Analytics and Insights (CHAI), SAS recently hired Dr. Graham Hughes, MD, as the company’s first Chief Medical Officer (CMO). When I heard the news, I sent a few questions to Graham to learn more about the new

English

Health Care

Data for Good

Ross KaplanJuly 7, 2011 0

Why life cycle management matters for health care fraud analysis

Due to the rapid changes in both the health care market and more specifically the amount of fraud being committed in it, it is even more important than ever to maintain some degree of life cycle management to update the analyses used to detect and identify aberrant activity. However, many

Health Care

Data for Good

Ross KaplanMay 12, 2011 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

Health Care

Data for Good

Ellen Joyner-Roberson, CFEDecember 17, 2010 0

Business Analytics 101: Enterprise Fraud Management

Recently I was listening to an NPR (National Public Radio) documentary about the history of cancer and medicine’s evolution in understanding and treating cancer. This was an amazing story. I would venture a guess that nearly everyone who is reading this post has been affected by cancer in one way

Health Care

Data for Good

Rick IngrahamJune 22, 2008 0

AHIP 2008 – IT WAS A BIG YEAR AND YOU’VE BEEN A PART OF IT

I am back home in Denver and catching up on all my thoughts from AHIP 2008. Every year I come back wishing I could divide my time exponentially. After all, a quick count of this year’s session tells me that I could only scratch the surface. In total, the Institute

Health Care

Data for Good

Rick IngrahamJune 22, 2008 0

ACHIEVING PRECISION MEDICINE & LOWER COST THRU DISRUPTION

Twice this year, I have been privileged to hear Clayton Christensen outline the principals around disruptive technologies and their impact on redefining industries. I left Friday’s closing day general session, “Diagnosing the Disease: A Disruptive Remedy for Health Care”, equally excited, reenergized yet perplexed. AHIP, again, did not fail to

Health Care

Data for Good

Rick IngrahamJune 20, 2008 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

Health Care

Data for Good

Rick IngrahamJune 19, 2008 0

From Global Trends & Opportunities to Engaging the Consumer: The times they are a changin'!

An afternoon of sessions followed by the exhibit hall mania to the AHIP Opening Night Reception…..from the discussions to exhibits to the presentations, there is no doubt that the business of health insurance plans is changing…..but I am not convinced we are all on the same page as to how,

Health Care

Data for Good

Rick IngrahamJune 18, 2008 0

Better evidence for what works in healthcare....Once one decides just what is evidence!

AHIP’s 2008 Institute is getting cranked up and the streets of San Fran are filling with bag-carrying registrants scurrying back and forth between their “conference hotels” (1 block to 15 blocks away) while the early session workshops are underway. This morning’s AHIP Evidence Policy “update” was a good supplement session

Health Care

Data for Good

Rick IngrahamJune 5, 2008 0

Heading Into AHIP - Looking for that "moment of insight"

As we head into the week before America’s Health Insurance Plan’s annual Institute, just a few thoughts…….. How healthy is our healthcare system? It depends of course on your definition of healthy. Imagine spending 24/7 tirelessly working to improve “the system” and always being painted as the “bad guy.” What

Health Care