The combined influences of a change in climate patterns and the increased concentration of property and economic activity in hazard-prone areas has the potential of restricting the availability and affordability of insurance. This paper evaluates the premiums that private insurers are likely to charge and their ability to cover residential losses against hurricane risk in Florida as a function ...

Insurance fraud costs the property and casualty insurance industry over 25 billion dollars (USD) annually. This paper addresses workers' compensation claim fraud. A data mining approach is adopted, and issues of data preparation are discussed. The focus is on building predictive models to score an open claim for a propensity to be fraudulent. A key component to modeling is the use of textual da...

The main purpose of this paper is to investigate the performance of Nigerian insurance companies using Data Envelopment Analysis (DEA). Because of the unavailability of the required data, the study is limited to ten Nigerian insurance companies for the period of five years from 2008 to 2012. The input employed were commission expenses and management expenses, while premium and investment income...

The Philippine Health Insurance Corporation (PhilHealth) is a government owned and controlled corporation, established in 1995 and tasked to implement the National Health Insurance Program. Since its inception, PhilHealth has utilized the fee-for-service scheme for majority of inpatient benefits and case payment for selected, mostly outpatient benefits. In 2010, the country elected a new presid...

Several estimators have been suggested to tackle the problem of endogenous regressors and selectivity in count regression models. They differ in the structure and the degree of parameterization of the underlying models. The estimation of health services utilization conditional on the choice of different forms of health insurance provides a classical example of such problems. In Switzerland, bas...

Mobile Health (mHealth) applications lie outside of regulatory protection such as HIPAA, which requires a baseline of privacy and security protections appropriate to sensitive medical data. However, mHealth apps, particularly those in the app stores for iOS and Android, are increasingly handling sensitive data for both professionals and patients. This paper presents a series of three studies of...

Several estimators have been suggested to tackle the problem of endogenous regressors and selectivity in count regression models. They differ in the structure and the degree of parametrization of the underlying models. The estimation of health services utilization conditional on the choice of different forms of health insurance provides a classical example of such problems. In Switzerland, basi...

Abstract Breast cancer is the second leading cause of mortality in adult women United States. Screening mammography reduces breast between 22% and 48%; however, screening remains underutilized. utilization data are available from insurance claims, electronic medical records, patient self-report via surveys, each source has unique benefits challenges. Numerous barriers exist that adversely affec...

Legislators have begun to recognize the importance of how electronically stored data should be maintained and secured. Similarly, the courts have begun to differentiate electronic data from their paper analogs. Examples of some sweeping electronic record management legislation include: the Health Insurance Portability and Accountability Act (HIPAA) of 1996, the Gramm-Leach-Bliley Act (GLBA) of ...