Appropriateness and investigation of fraud in supplemental healthcare
In Italy, there are 300 supplemental healthcare funds available, which assist over 6.9 million people. A good supplemental healthcare fund is measured by the degree of appropriateness of the services offered as well as the ability to detect incorrect and fraudulent behaviours of the assisted people.
These are the topics of a conference that will be held on Thursday 24 March, at the Auditorium of the Ministry of Health in Lungotevere Ripa 1, Rome, organized by the supplemental healthcare fund of CCNL for the chemical and pharmaceutical sector (Faschim), in collaboration with the Semeion Research Centre and Valore.
Speakers will feature Prof. Paolo Massimo Buscema, Director of Semeion, Dott. Claudio Giammatteo, General Director of Faschim, Mr. Stefano Ronchi, General Director of Valore and Mrs. Giulia Massini, Senior Researcher of Semeion. Moderator: Marco Mozzoni, Contract Professor, University of Milan-Bicocca.
During the event, speakers will present a research project that uses innovative artificial intelligence algorithms to optimize the performance of the Faschim fund: this system can identify the typical and atypical behaviours of the assisted people, as well as the potential frauds that “hide” in the huge amounts of data, to the advantage of the users of the funds and the economic and social system that contributes to improve public health.