2015 INFORMS Annual Conference
Industry NewsAIMMS signs partnership agreement with BCG
AIMMS BV, an advanced analytics software company, recently announced a new partnership agreement with The Boston Consulting Group (BCG), one of the world’s top management consultancies. The two firms will collaborate on software development, marketing, sales and implementation of AIMMS’ technology platform in order to strengthen their mutual position in the market for strategic consulting and advanced analytic services.Read More
Special ArticlesINFORMS hosts successful healthcare conference
The 2015 INFORMS Healthcare Conference recently held in Nashville, Tenn., was a big success with 125 sessions and more than 500 talks. The conference featured a great combination of academic and practitioner speakers, along with a nice blend of healthcare and analytics professionals. Interesting thought-provoking dialogue was evident from contrasting views of healthcare professionals.Read More
Analytics Section of INFORMS NewsAnalytics Section members wearing ‘CAPs’
The Analytics Section of INFORMS salutes its members who have achieved the Certified Analytics Professional (CAP®) designation. They have measured up to the high standard of the analytics profession that INFORMS’ subject matter experts have determined must be met in order to qualify as a certified professional.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.