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
Are Student Loan Holders at Risk as Deferments Expire?
Factors driving credit score decreases observed among student loan holders involved behaviors such as delinquency on credit products including bankcards, auto loans, and mortgages
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
Simulated FICO Score Impacts from Balance Aggregation due to Mortgage Forbearance
Research shows balance aggregation results in modest impact to FICO® Scores
Anti-Bribery and Corruption: FCPA Prosecution Trends in the U.S.
The 2020 Year in Review report from the DOJ's Fraud Section reflects a remarkable record of individual prosecutions in 2020
Challenges in Countering Trade-Based Money Laundering
Financial institutions should consider the introduction of machine learning and artificial intelligence (AI) to go beyond simple red-flag indicators of TBML.
Simulated FICO Score Impacts due to Mortgage Forbearance
Analysis identified modest impacts to FICO Scores from forbearance-related potential increases in mortgage balance.
Truncation Bias in Score Validations: When Rejected Applications Strike Back
The set-up of a score validation can greatly influence model performance results — and sometimes inflate them
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.
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