How a Hybrid Anti-Fraud Approach Can Save Government Benefit Programs Billions

The New Face of Fraud and Detection Professional criminal enterprises inflict more damage and losses on society than opportunistic individuals. Yet today, anti-fraud program managers focus primarily on detecting outliers, researching standalone fraud events and acting on tips. And why not? Most anti-fraud analytic methods are focused at the provider or claim level; very little if any advanced data analysis focuses on the detection of collusive behavior among multiple entities.

Spotlight

Ealing Council (London Borough of Ealing)

Ealing Council serves the residents and businesses of London's third largest borough, which is located in the heart of west London.

OTHER WHITEPAPERS
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The Role of Monopoly in America’s Prescription Drug Crisis

whitePaper | December 10, 2019

The Trump administration, members of Congress from both parties, and many states have introduced proposals to combat high drug prices. Too often missing from these reform efforts, however, is a clear understanding of a root cause of the crisis: the suppression of fair market competition through various forms of monopoly. This white paper examines and proposes solutions for the two main ways that monopoly drives up the costs and lowers the quality of prescription drugs: increasing corporate concentration in the pharmaceutical industry, and the monopoly markets for individual drugs created by a deeply flawed and increasingly abused patent and regulatory system.

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Cross Government AI Adoption Review: Final Report

whitePaper | December 2, 2019

The Autumn 2018 Budget commits HM Government to review how it can use Artificial Intelligence (AI), automation and data in new ways to drive public sector productivity and wider economic benefits.

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Zoom and Zoom for Government

whitePaper | September 15, 2022

Entities around the globe are using collaboration solutions to evolve the way they do business. From schools to financial institutions to government agencies, organizations everywhere rely on solutions like the Zoom platform for collaboration and communication.

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The State of Ransomware in State and Local Government 2022

whitePaper | September 19, 2022

Sophos' annual study of the real-world ransomware experiences of IT professionals in the state and local government sector has revealed an ever more challenging attack environment. Together with the growing financial and operational burden ransomware places on its victims, it also shines new light on the relationship between ransomware and cyber insurance - including how insurance drives changes to cyber defenses.

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U.S. Trade in Services: Trends and Policy Issues

whitePaper | January 22, 2020

Trade in “services” refers to a wide and growing range of economic activities. These activities include transport, tourism, financial services, use of intellectual property, telecommunications and information services, government services, maintenance, and other professional services from accounting to legal services. Compared to goods, the types and volume of services that can be traded are limited by factors such as the requirement for direct buyer-provider contact, and other unique characteristics such as the reusability of services (e.g., professional consulting) for which traditional value measures do not account. In addition to services as independent exports, manufactured and agricultural products incorporate and depend on services, such as research and development or shipping of intermediate or final goods. As services account for 71% of U.S. employment, U.S. trade in services, both services as exports and as inputs to other exported products, can have a broad impact across the U.S. economy.

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Restoring trust in audit and corporate governance

whitePaper | June 1, 2022

These are challenging times for the UK, but the economy is recovering well, with record job vacancies and unemployment back at pre-crisis levels. A diverse range of companies and entrepreneurs continue to identify the UK as a great place to start and grow a business. The UK continues to be Europe’s most attractive location for international investment in financial services and is well positioned for continued growth1. To help people cope with rises in the cost of living, we want to see businesses thrive across the whole of the UK, sustaining employment and the economic health of communities.

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Spotlight

Ealing Council (London Borough of Ealing)

Ealing Council serves the residents and businesses of London's third largest borough, which is located in the heart of west London.

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