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AI and Hyper-Personalization for the Insurance Industry

Artificial intelligence impacts personalization for insurance through predictive analytics that can be used to tailor insurance offerings to individual policyholders

For Asia’s Insurance Sector, It’s Digitize or Die

Asia’s insurance sector is at the front line of new era of wealth generation - the winners will be the insurers that have their digital transformation “house" in order

How to Increase Claims Processing Automation – 5 Questions to Ask

Automating claims processing right can help you reduce costs, improve outcomes, and assure patient and stakeholder satisfaction - here's how to think about it

How to Improve Patient Centricity for Commercial Health Plans

The advantages of a holistic, member-centric approach to healthcare are clear - as are the impacts of the failure to achieve member centricity

Business Simulation for Insurance: Best Practices and Getting Started

Business simulation can provide both the experimentation and the guardrails helping insurance companies explore multiple paths to success

Claims Automation for Health Plans: Transformation with a Small “t”

By focusing on transformation with a small “t” that addresses measurable performance gaps, health plans and administrators can use claims automation to control costs and risk

European Card Fraud 2020: UK Shrinks Fraud Losses by £46M

FICO's European Fraud Map for 2020 shows how the UK, Denmark and Hungary benefitted from tight controls - while many countries did not

Payment Methods and Fraud: Are Too Many Schemes a Bad Thing?

The profusion of payment mechanisms may be confusing for consumers, and a goldmine for fraudsters

Brexit Scams Rise as Criminals Target Uncertain Times

Toby Carlin examines a wave of Brexit scams and offers advice on how to spot, prevent, and report them

FICO Survey Shows How UK Fraud Teams Struggled in Pandemic

Nearly four out of five respondents from UK banks said that working from home had a high or major impact on the effectiveness of their financial crime prevention

European Card Fraud — How the UK Drove Down Losses 8%

European card fraud reduced by 2% across 18 countries studied - but there were winners and losers

Reducing Health Care FWA Losses - Find Your Focus

A key component of stopping fraud, waste and abuse is to focus on your most productive targets: Who or what should be the focus of your payment integrity program?

How AI and Machine Learning Can Fight Health Care Fraud

AI and machine learning have become popular concepts in payment integrity. But how can they help reduce your losses to health care fraud, waste and abuse?

Who Should Be Responsible for Health Care Payment Integrity?

Given the negative impact of fraud, waste and abuse on health care, it’s in every payer’s interest to focus on these problems. 

Reducing Health Care Fraud, Waste & Abuse: How Much Is Enough?

So how does a health care payer measure success in payment integrity? How much is enough?

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