Industry NewsAnyLogic relocates to Chicago
AnyLogic North America, LLC, a simulation modeling software and services company, has moved its North American headquarters from Lisle, Ill., to Chicago. The new address is 20 N. Wacker Dr., Suite 2044, Chicago, IL 60606, inside the historic, newly renovated Civic Opera Building.Read More
Special ArticlesKaplan elected president of INFORMS
Yale School of Management Professor Edward H. Kaplan, whose pioneering work in public health and homeland security has received international recognition and numerous awards, was recently elected president of the Institute for Operations Research and the Management Sciences (INFORMS).Read More
Special ArticlesINFORMS aviation security expert weighs in on Ebola and airport screening
Sheldon Jacobson, a professor at the University of Illinois and a longstanding expert in the field of airport security and the design of aviation security systems, has taken a public stance to challenge the way airports screen for Ebola, recommending much more aggressive measures than are currently being employed worldwide. An active member of INFORMS who in August completed a two-year term as program director for Operations Research at the National Science Foundation, Jacobson explains in a recent opinion piece published in the Washington Post how airport quarantines and blood tests should be used to prevent the virus from spreading further in the United States and elsewhere.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.