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
How to Protect Mobile Wallets from Prepaid Card Fraud
What are the strategies that are reshaping the battle against prepaid card fraud within the realm of mobile wallets?
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
Enterprise Fraud Solution Buyers Want More Agility, More Data
Our recent global survey reveals the investment priorities and functionality requirements for enterprise-level fraud solution buyers
Does Your Fraud Department Have the Right KPIs?
Measuring the right things matters - if fraud reduction comes at a cost to customer experience, you may have the wrong fraud KPIs
Got Enough Fraud… Models That Is?
When designing a strategy for detecting and preventing fraud, everyone always comes to the same conclusion—there is no silver bullet.
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?
Energy Optimization: Ørsted Wins FICO Decisions Award
Ørsted, the world's leading offshore wind farm developer, has used FICO® Xpress Optimization to develop a novel digital energy optimization solution.
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?
How Energy Optimization Can Make Renewables More Reliable
You can’t control the sun, the wind or the snow. But using predictive and prescriptive analytics, along with optimization algorithms, you can do the next best thing.
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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