The health industry consumes vast amounts of money and resources and is seen as a “black-hole” in many Government budgets. A ground breaking study using new science could save the industry millions and point the way for future research. Dr Shahadat Uddin CMCRC PhD Graduate Lecturer, U. Sydney Shahadat Uddin is a graduate of the
Governments as well as health and accident compensation insurers are grappling to improve health outcomes while keeping spiralling costs under control. These seemingly irreconcilable goals require a careful balance of policy to help stem the tide of ever increasing costs in the health industry. Dr Uma Srinivasan CMC Insurance Solutions CMC Lead Scientist Keywords: Health insurance,
The health industry consumes vast amounts of money and resources and is seen as a “black-hole” in many Government budgets. A ground breaking study using new science could save the industry millions and point the way for future research. Dr Shahadat Uddin CMCRC PhD Graduate Lecturer, U. Sydney Shahadat Uddin is a graduate of the
Previous studies have documented the application of electronic health insurance claim data for health services research purposes. In addition to administrative and billing details of healthcare services, insurance data reveal important information regarding professional interactions/links that emerge among healthcare service providers through, for example, informal knowledge sharing. By utilising details of such professional interactions and
Timely information and education can enhance the ability of consumers to make informed choices about their health, lifestyle and modifiable disease risk factors. Due to its unstructured and varied format, and lack of targeted delivery methods, information and knowledge does not often reach consumers, when they need it most. The aim of this project is
The paper presents an approach that applies social network theory to understand chronic disease progression. Submitted to the Australasian Workshop on Health Informatics and Knowledge Management https://cs.anu.edu.au/conf/acsw2016/sub-confs/hikm.html Author(s): Arif Khan, Shahadat Uddin and Uma Srinivasan
A patient-centric approach to healthcare leads to an informal social network among medical professionals. This chapter presents a research framework to: identify the collaboration structure among physicians that is effective and efficient for patients; discover effective structural attributes of a collaboration network that evolves during the course of providing care; and explore the impact of
The healthcare sector deals with large volumes of electronic data related to patient services. This article describes two novel applications that leverage big data to detect fraud, abuse, waste, and errors in health insurance claims, thus reducing recurrent losses and facilitating enhanced patient care. The results indicate that claim anomalies detected using these applications help
Srinivasan, U. “Anomalies Detection in Healthcare Services” Using several practical examples of cost and quality-of-care outliers, the author presents a framework to detect outliers and anomalies in healthcare services. Author(s): Srinivasan, U. View Paper
Fei Wang, Uma Srinivasan, Shahadat Uddin, and Sanjay Chawla. “Application of network analysis on healthcare”. In Advances in Social Networks Analysis and Mining (ASONAM), 2013 IEEE/ACM International Conference on IEEE, 2014. The healthcare sector holds large amounts of semantically rich electronic data generated and used by different sections of the health care community. Data analytic