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Matrix: Payment Integrity in Healthcare
SAS’ legacy and strength in data analytics and aggregation come into play at a time when health plans can benefit from robust analytics capabilities to uncover irregular claim submissions. Building on its core competence, SAS analyzes healthcare claims data using a package of over 1,400 scenarios that trigger alerts, accompanied with a risk value. The company’s stability as a vendor, its brand recognition, and its desirable product features outpace those of its peers.
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- ユーザー事例 Fast analytical defenseDeutsche Kreditbank AG combats fraud and money laundering with SAS.
- ホワイトペーパー Leveraging Analytics to Combat Digital Fraud in Financial OrganizationsInternational Institute for Analytics summarizes key questions and answers about financial fraud in the digital age.
- ホワイトペーパー Procurement integrity powered by continuous monitoringWhy do many otherwise well-intentioned employees feel tempted to commit fraud – and end up being successful for so long? See why you can't afford to wait to take action.
- ホワイトペーパー Detect and Prevent Identity Theft The explosion in e-commerce and online account opening has created new convenience and choice for consumers. At the same time, large-scale data breaches have created new opportunities for fraudsters, fueling an 8-percent increase in identity theft in a single year. Find out how to fight back, without hindering your good customers.
- アナリスト・レポート Matrix: Payment Integrity In HealthcareAccording to this 2021 report on healthcare payment integrity from Aite, SAS' stability as a vendor, its brand recognition and its desirable product features outpace those of its peers.
- ホワイトペーパー How Public Sector Agencies Can Use Analytics to Lead Through CrisisWhen public service leaders need to make vital decisions quickly – to guide people through a crisis and save lives – data analytics is essential.
- e-Book Public service of the futureNever before have governments been asked to do so much, so fast, while facing considerable pressures – rising customer service expectations, fiscal constraints, overstretched organizations and workforce fatigue. Technologies like AI and generative AI are shifting the limits of what is possible – enabling fresh ideas about how public sector organizations can deliver services and helping to rethink what services are offered. From national to local government, law enforcement to health and defense to education, great strides are being made to deliver better outcomes and experiences. In this e-book, you will discover six considerations for improving productivity and ensuring public servants have the time to focus on what matters. Here's a sneak peek: · How do different demographics engage with public services and how do you serve everyone? · Are traditional processes meeting your organization’s needs? Would updating and modernizing help you achieve increased operational efficiency? · How AI is a catalyst for organizational transformation.
- ホワイトペーパー Balancing Fraud Detection and the Customer Experience Customers of a digital business create an intricate online footprint as they transact online. Businesses that capture and truly understand a complete identity based on online and offline attributes can seamlessly authenticate good customers and reliably spot the fraudulent or hijacked identities – in real time.
- ホワイトペーパー Rethinking customer due diligenceHelp evaluate your organization's CDD processes and technology relative to current industry risks and regulatory requirements.
- ホワイトペーパー 2021 State of Insurance Fraud Technology StudyAs fraud continues to frustrate survey respondents, it's not surprising that the adoption of insurance anti-fraud technologies among respondents grew since the 2018 survey.
- 記事 プロアクティブな検知 – テロ対策の新たなアプローチテロ対策に取り組む金融機関の調査チームが「プロアクティブな検知」という斬新なアプローチを採用し、既存のデータをより有効に活用できる業務環境を構築するためのステップとは?
- ホワイトペーパー AI Is at the Forefront of Reducing Money Laundering and Combating the Financing of Terrorism See how artificial intelligence (AI), machine learning (ML) and robotic process automation (RPA) are helping firms overcome the challenges, improve results and make AML/CFT programs more efficient and effective.
- ホワイトペーパー Value and Opportunity: An Executive Guide to Procurement IntegrityProcurement integrity (PI) represents a broader problem and bigger opportunity than most businesses recognize. Comprehensive PI programs continuously validate purchasing transactions, using data and analytics to trace patterns, spot anomalies, and reduce fraud, waste and abuse.
- 記事 消費者信用業界におけるDX成功の鍵クレジットカード・信販・消費者金融業界の課題を解決するSASの包括的なソリューションをご紹介します。
- ユーザー事例 Thai bank safeguards customers while managing fraud detection in real timeKrungsri Consumer uses SAS® Fraud Management to find fraud faster and reduce revenue losses.
- ホワイトペーパー The Escalation of Digital FraudThis Javelin Research report is based on 120 independent interviews of payment and security executives in 20 countries and delivers a clear picture of how digital fraud has changed the global operating environment for financial institutions.
- ホワイトペーパー Modernizing Healthcare Analytics on the Cloud: Experiences from the Front LinesDramatic changes in the health care industry over the past decade have ratcheted up the demand for big data analytics while simultaneously highlighting the information risks associated with data protection and the benefits of utilizing advanced analytics to improve health outcomes, equity and quality. Many organizations are turning to cloud computing to modernize their analytics life cycle, yet sometimes they face unexpected roadblocks along the way.
- ホワイトペーパー Using Modern Analytics to Save Government Programs MillionsNext-generation analytic tools from SAS cut across data and program silos and empower investigators to go on the offensive with fraud operators – without disrupting the efficient and timely delivery of benefits, services or tax refunds.
- 記事 公共機関、公共セクターによるHigh-Performance Analyticsの活用政府機関や公共機関の持つビッグデータは、内部の不正や機関へのリスクだけでなく、市民生活などさまざまな要素に影響を与えます。では公共セクターは、どうすればビッグデータを有効に活用できるでしょうか。
- 記事 アナリティクスによる児童福祉の改善(英語)With tremendous potential for child welfare agencies to use data and analytics to prevent child abuse and improve outcomes for children and families, child welfare advocates discuss the benefits of using data and establishing a data-driven culture to advance practice and policy.
- ホワイトペーパー Data and Analytics to Combat the Opioid EpidemicThis research brief from the International Institute for Analytics and SAS explores how data and predictive analytics can help develop better treatment protocols, both for initial pain and for remediation when patients become dependent on the drugs.
- アナリスト・レポート Chartis RiskTech Quadrant for Enterprise Fraud Solutions, 2023: Vendor AnalysisChartis RiskTech Quadrant for Enterprise Fraud Solutions, 2023 has named SAS a category leader for enterprise fraud solutions.
- アナリスト・レポート SAS is a Leader in The Forrester Wave™: AI Decisioning Platforms, Q2 2023.The Forrester Wave™: AI Decisioning Platforms, Q2 2023 recognizes SAS for seamlessly integrating world-class analytics for decisioning.
- アナリスト・レポート Chartis RiskTech Quadrant for Watchlist and Adverse Media Monitoring 2024
- ホワイトペーパー Fighting the Rising Tide of Medicaid FraudMedicaid fraud has jumped dramatically in the era of COVID, as increasing complexity of delivery and payment models, along with increased funding, has created openings for fraudsters, including organized crime.
- ホワイトペーパー Keeping Fraud Detection Software Aligned With the Latest ThreatsLearn how SAS enables end users to keep fraud detection software current and able to detect new threats.
- ホワイトペーパー What Lies BeneathThe prevalence of and approaches to procurement fraud in global business.
- ホワイトペーパー Payments Without BordersMitigating fraud risks in cashless payments by holistically understanding your customers across all channels.
- ホワイトペーパー Achieving program integrity for health care cost containmentLearn how taking an enterprise approach to payment integrity – one that combines advanced data management and sophisticated analytics – can help payers detect and prevent fraud; effect positive change in how providers, employees and patients behave; and substantially reduce health care costs.
- e-Book Data-driven health careThe use of technology and data in the health care ecosystem continues to evolve. An extreme emphasis has been placed on digital health, AI, and the need for interoperability across various stakeholders in the healthcare ecosystem. Interoperability of different health care systems and devices to seamlessly exchange information is crucial to provide stronger health outcomes and patient engagement opportunities, enhance patient safety and operational efficiency, and reduce duplicated effort and potential for error. Discover how health care powered by data and technology will be the springboard to the future.
- ホワイトペーパー Data-Driven PerformanceAgency program executives need to know a lot about their programs beyond whether the spending rate results in a balanced budget execution.
- ホワイトペーパー Managing Fraud Risk in the Digital Age The rise of mobile and online transactions introduces new fraud risks. Retailers and payment processors must adapt their anti-fraud defenses, augmenting them with stronger, analytics-driven authentication, proactive detection and mitigation tools.
- 記事 データ・ビジュアライゼーション(視覚化)の活用により犯罪取締を強化する方法市民は警察が現在も、TVニュース、新聞、ラジオという従来型のメディアソースに大きく依存していると確信しています。とはいえソーシャルメディアについては、アンケート回答者の警察が従来の捜査で頼りにしてきたのはデータを直接(統計数値として)把握する手法ですが、ビジュアル・アナリティクスは、データに潜む複雑な関係性を理解するのに役立ちます。
- ホワイトペーパー How AI and Machine Learning Are Redefining Anti-Money LaunderingMachine learning can play a big role in the defense against money laundering, either to automate tasks that formerly required human intervention, such as managing the data to train models, or detect more financial crimes risk that rules and more basic analytic techniques might miss.
- ホワイトペーパー An Analytic PrescriptionAt the May 2014 SAS Health Analytics Executive Conference, industry leaders from Dignity Health, Highmark Health, Eli Lilly Company, and SAS shared what they have done to prove the value of analytics to their business leaders and develop an analytic culture in their organizations.
- ホワイトペーパー Next-generation AMLSix tips to modernize your fight against money laundering.
- ホワイトペーパー Text Analytics for ExecutivesThis paper looks at how organizations in banking, health care and life sciences, manufacturing and government are using SAS text analytics to drive better customer experiences, reduce fraud and improve society.
- e-Book On the Road to Accelerating Claims AutomationMore than ever, insurance companies need to provide customers with seamless interactions that save them time, minimize hassle, and make them feel seen, understood, and cared for. Many are also exploring the use of AI for claims prevention – for example, by creating new risk mitigation services. All of this requires investment in digital technologies that work together to enable intuitive, Amazon-like customer experiences. This ebook explores how insurers can make the leap to digitally transformed, intelligent claims processes that customers love and increase operational efficiency and reduce costs.
- e-Book The Future of Energy & Utilities: Transform Through InnovationThe Energy & Utilities sector is on a countdown to reinvention. The surge in demand for advanced technology, smart cities and electric mobility is converging with the need for renewable energy sources and sustainability.
- ホワイトペーパー Data, analytics and machine learning: The new frontier of fraud preventionThe Economist explores how global financial institutions are using advanced technologies such as machine learning to support fraud and security intelligence.
- e-Book Integrating data. Enhancing decisions. Improving lives. Find out how cloud-based analytics and AI is transforming health care.
- ホワイトペーパー Behavioral Health in the Health Care IT EcosystemThe imperative to advance infrastructure and analytics to move toward whole-person care
- アナリスト・レポート Celent: Insurance Fraud Detection Solutions: Health Insurance, 2022 EditionSAS was named a Luminary in Celent's Insurance Fraud Detection Solutions: Health Insurance, 2022 Edition, excelling in both Advanced Technology and Breadth of Functionality.
- 記事 アナリティクスを活用した処方薬の監視薬物乱用への対策として始まった処方薬監視プログラム(PDMP)に、高品質なデータと優れたアナリティクスを組み合わせることで新たな可能性が生まれます。
- ウェビナー From Idea to Action: The Keys to Real-World Evidence and AnalyticsReal-world data is the latest industry buzz, but is it that valuable? Without the power of analytics, it might not be.
- ホワイトペーパー Protect the Integrity of the Procurement FunctionProcurement fraud affects nearly one-third of organizations, and it is often perpetrated by the most trusted, longtime employees, the ones you’d least suspect. Learn from two white-collar crime specialists about common flavors of procurement fraud, striking examples from recent headlines, four fundamental ways to get better at detecting and preventing fraud, and how to take procurement integrity to the next level.
- e-Book Fight money laundering with these 5 next-gen game changers from SASEffectively battling dynamic financial crime threats requires new capabilities for AML defense – such as artificial intelligence, machine learning, intelligent automation and advanced visualization.
- ホワイトペーパー Anti-Fraud Technology As criminals find new ways to exploit technology and target potential victims, anti-fraud professionals must adopt new technologies to effectively navigate the evolving threat landscape.
- ユーザー事例 アナリティクスがマネーロンダリング対策の原動力を供給SAS helps Landsbankinn reduce false positives and streamline investigation.
- ホワイトペーパー Fraudsters love digitalBy incorporating fraud analytics as a first line of defense, insurers can build in safeguards for all of their digital programs. In turn, they can spot emerging fraud rings, emerging fraud trends, and make real-time decisions on claims recovery to reduce leakage.
- ホワイトペーパー Artificial Intelligence for ExecutivesThis paper outlines the SAS approach to AI and explains key concepts. It also provides process and implementation tips if you are considering adding AI technologies to your business and analytical strategies.
- 記事 金融機関と政府の包括的な金融犯罪対策を支援
- アナリスト・レポート dbInsight: SAS Viya is living large on AzureLearn how Azure provides the onramp to a new customer base to take advantage of SAS capabilities without having to make big enterprise software commitments.
- ホワイトペーパー AML ModernizationThis white paper explores current organizational challenges, outlines the benefits of new AML technology adoption, and identifies how to embark on a journey of discovery and modernization.
- e-Book High velocity decisions. Trusted outcomes.Protecting against fraud, money laundering and public security challenges requires making intelligent decisions that guide swift, effective actions.
- アナリスト・レポート Chartis RiskTech100 2024SAS climbs to No. 2 in the prestigious Chartis RiskTech 100®, 2024, and bested seven technology award categories, including AI for Banking, Behavioral Modeling and Enterprise Stress Testing.
- e-Book Faces of FraudLearn how strong, AI-enabled fraud detection can help businesses rise to their customers’ expectations and gain a competitive edge.
- アナリスト・レポート SAS is a Leader in The Forrester Wave™: Anti-Money Laundering Solutions, Q3 2022SAS Anti-Money Laundering, which helps fight money laundering and terrorist financing with AI, machine learning, intelligent automation and advanced network visualization, is named a Leader in The Forrester Wave.
- アナリスト・レポート Matrix: Leading Fraud & AML Machine Learning PlatformsSAS is a best-in-class vendor in the most recent Datos Insights report, Matrix: Leading Fraud & AML Machine Learning Platforms.
- ホワイトペーパー Fraud in CommunicationsIn a digital world where everything is available via the web, there’s a whole new level of fraud. Today’s communications providers must be vigilant. This white paper explains how organizations can implement the tools and methods to detect and combat emerging fraud methods.
- アナリスト・レポート IDC MarketScape: Worldwide Responsible Artificial Intelligence for Integrated Financial Crime Management Platforms 2022 Vendor AssessmentLearn why SAS is positioned in the Leaders category in the 2022 IDC MarketScape for worldwide responsible artificial intelligence for integrated financial crime management platforms.
- ホワイトペーパー The road to health equityHow data and analytics contribute to improving outcomes for all.
- ホワイトペーパー Machine Learning Use Cases in Financial CrimesLearn 10 proven ways machine learning can boost the efficiency and effectiveness of fraud and financial crimes teams – from data collection to detection to investigation and reporting.
- ユーザー事例 リアルタイムの制裁スクリーニングにより、金融犯罪やテロ資金供与に対抗Orange Bankは、SASとNeteriumによるクラウドベースの制裁スクリーニング・ソリューションで、新たなリスクや変化する規制の一歩先を進んでいます。
- アナリスト・レポート Celent Insurance Fraud Detection Solutions: Property and Casualty Insurance, 2022 EditionSAS is a Luminary in Celent's Insurance Fraud Detection Solutions: Property and Casualty Insurance, 2022 Edition.
- ホワイトペーパー Safer communities, trusted law enforcementThrough an analytics-based approach to officer readiness, SAS can help law enforcement ensure public safety and reestablish a culture of trust.
- アナリスト・レポート Chartis RiskTech Quadrant for Trade-Based AML Solutions 2022SAS is named a category leader in the Chartis RiskTech Quadrant for Trade-Based AML Solutions, 2022.
- ホワイトペーパー Managing the Intelligence Life CycleBecause terrorists and other criminals are already using technology to carry out their missions, intelligence professionals need to access all available, appropriate information, to extract important elements and process, analyze and disseminate it quickly to keep ahead of potential threats.
- ホワイトペーパー Proactive anti-financial crime strategies to improve compliance and reduce riskIn today’s fast-changing landscape, become more effective across all stages of AML investigations by following this framework and shift to a proactive, risk-based approach.
- ホワイトペーパー Detect and prevent digital banking fraudDiscover how banks can fight identity-based fraud attacks using proven analytical methods to detect the fraudsters while expediting service for legitimate customers.
- ホワイトペーパー Generative AI in Health Care: Opportunities and CautionsLearn how GenAI will affect all aspects of health care, from cost containment to patient care., and the importance for organizations to recognize both the potential and the limits of this new technology and be alert to how it’s being used to perpetrate fraud.
- ホワイトペーパー Government Procurement OfficesFind better ways to address fraud, waste and abuse – and respond more effectively to budget cuts – by using SAS to help you achieve new levels of fiscal responsibility.
- ホワイトペーパー Fighting Insurance Application Fraud Learn about the advantages of using analytics-driven methods for authenticating applicants to reveal customer gaming, agent gaming and potential future claims fraud.
- アナリスト・レポート SAS is a Leader in The Forrester Wave™: Enterprise Fraud Management, Q2 2024
- e-Book Innovation driven by strategyFrom curing diseases to studying the sun, innovative uses of analytics are changing the world. Download this e-book to see where tomorrow’s technologies are happening today. You’ll find out how analytics technologies are being used for cybersecurity, machine learning, the Internet of Things and more. If you’re looking for inspiration, see where this e-book takes you.
- ホワイトペーパー Banking in 2035: global banking survey reportWhat trends do banking leaders consider to be the greatest risks and the greatest opportunities? What internal and external barriers stand in their way? What technologies will help them harness the opportunities ahead? Download the report to explore.
- 記事 モノのインターネットがもたらすビジネスチャンス自動車から、医療機器から、スマートフォンの位置情報から、多様な「モノ」から生みだされるストリーミング・データは、現状を監視するために、そして未来を予測するために役立ちます。モノのインターネットのデータ分析によってもたらされるビジネスチャンスを、いくつかの業種を例にご紹介します。
- ホワイトペーパー The Speed of Digital Disruption: Sustaining Transformation in Health Care and Life SciencesAn expert study investigating the challenges, successes and hopeful future state of the health care and life sciences industry.
- ホワイトペーパー Enforcing Tax Compliance in a Turbulent WorldIIA spoke with SAS experts to explore innovative ways to use data and analytics to improve operational efficiency, taxpayer engagement, and smart decisions throughout the revenue and compliance process.
- e-Book Powering Health Innovation with AIThere is no doubt: AI has the potential to transform health care. The most recent SAS Hackathon showcased how the transformative power of analytics can spark health care innovation. The Hackathon was entirely conducted on a Microsoft Azure cloud infrastructure to facilitate the agile analysis and visualization of big data.
- ホワイトペーパー Top Trends: Why Tax Administrators Are Adopting New Data and Analytics StrategiesDespite best efforts, governments lose several trillion dollars annually to the economic crimes of tax evasion and noncompliance. Learn about the top five trends shaping the future for tax administrators.
- ホワイトペーパー The Road to Value-Based Health CareThis paper describes the transformative tools that use advanced analytics to help health care organizations balance the goals of cost reduction and quality improvement through analysis of episodes of care.
- 記事 持続可能なGDPRコンプライアンス体制の実現に向けた5つのステップ本稿で説明するステップに従えば、2018年5月の発効日までにGDPRコンプライアンスを達成した上で、追加のメリットも実現することができます。
- ホワイトペーパー Banking in 2035: three possible futuresThis paper explores how the major forces affecting banks may evolve between now and 2035, seen through the lens of three potential scenarios.
- e-Book Protecting the PaymentsAs unemployment insurance claims increased dramatically because of pandemic job losses, incidents of fraud have also grown exponentially in federal and state government systems.
- ユーザー事例 SAS Viyaとオープンソース: コラボレーションによるイノベーションドイツの公的健康保険会社のTechniker Krankenkasseは、革新的なパターン認識機能を構築するためにSASと協働しています。
- ホワイトペーパー Effective fraud analytics: 10 steps to detect and prevent insurance fraudInsurers that follow the 10 steps outlined in this paper offer the best chance for detecting both opportunistic and organized fraud.
- ウェビナー AI in Health Care: Enhance Clinical and Operational Decision MakingAI is revolutionizing the health care sector. Join SAS and Microsoft to explore innovative AI solutions for better patient outcomes and efficient care delivery.