I applaud insurers like BCBSNC that are using predictive modeling to identify members abusing medical services, like ER care, and launching campaigns to better educate them about their less costly -- but no less effective -- options. I've been to the ER a number of times, only once for myself and the rest for my kids (most recently to have one of my daughter's forehead stitched back together after she took an elbow to the head during a basketball game) and I always find myself wondering at my fellow patrons, "Are you really so ill as to require an ER visit?" They may be, but I still wonder.
The SAS Global Forum and Executive Conference will have analytics professionals discussing and learning about the inner workings of technology but also how data analytics can help their companies and the world run better.
While 97% of insurers say that insurance fraud has increased or remained the same in the past two years, most of those companies report benefits from anti-fraud technology in limiting the impact of fraud, including higher quality referrals, the ability to uncover organized fraud, and improve efficiency for investigators.