2015 INFORMS Annual Conference
Special ArticlesSyngenta, INFORMS offer Crop Challenge
The Institute for Operations Research and the Management Sciences (INFORMS), the leading professional association in analytics and operations research, and Syngenta recently announced a new, joint award, the Syngenta Crop Challenge, which will focus on ways that analytics can address the problem of feeding millions of people throughout the world who face hunger every day.Read More
Special ArticlesCounterfeiting can improve fashion quality, benefit consumers
Counterfeit products have the power to stimulate innovation in the fashion industry and benefit consumers, according to a new study published in Marketing Science, a journal of the Institute for Operations Research and the Management Sciences (INFORMS). The research investigates two questions: How do brands react to counterfeits, and what are effective means of enforcement against counterfeits?Read More
Special ArticlesStudy: E-mail, analytics remain vital components of marketing
IBM recently announced findings from its 2015 E-mail Marketing Metrics Benchmark Study, which analyzes e-mail marketing trends from 3,000 global brands, representing 40 countries and multiple industries.Read More
GEHA selects FICO Analytic Solution to intensify fight against insurance fraud, waste and abuse
FICO, provider of analytics and decision management technology, announced that the Government Employees Health Association (GEHA) has upgraded to FICO® Insurance Fraud Manager and will be adding FICO® Blaze Advisor® business rules management systems to help it more broadly and effectively detect and prevent insurance fraud, waste and abuse (FWA).
GEHA is the second-largest national health plan and the second-largest national dental plan for federal employees, retirees and family members, serving more than one million covered lives worldwide. GEHA has been a long time user of FICO analytics to analyze medical claims and fight fraud prior to payment.
With the upgrade to FICO® Insurance Fraud Manager, GEHA can not only monitor medical claims but also can manage pharmacy and dental claims with fraud detection and prevention models, discovering new fraud schemes in additional areas. GEHA also will be using FICO® Blaze Advisor® business rules to proactively evaluate claims and stop known fraud earlier in the process, driving greater efficiency and results.
"Many organizations have adopted FICO's analytics-based solutions to address the enormously costly problem of health care fraud, waste and abuse," said Russ Schreiber, vice president and insurance practice leader at FICO.