Promising tool for eradicating health insurance fraud

Geographic information systems and other technologies offer new hope for reducing government health care fraud. Recently, the Federal Bureau of Investigation arrested 55 people involved in a scheme to defraud Medicare on October 13, 2010 and took down a separate group a week later in Florida that had tried to defraud the Medicare system of $200 million.

The Obama administration has put considerable energy toward fixing this problem. One of the most promising solutions is the use of geographic information systems (GIS). Medical insurance claims typically organized by patient information can tell a more complete story with the geographic data surrounding a patient’s medical care, says Bill Davenhall, a health-care expert at Esri. “Analysts don’t always see geography as a predictive tool, but it can be very useful,” he says.

To see the full article, click here.

IEEE Spectrum,

Sachiye Day, VERTICES intern

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