“In ‘Mining the Tar Sands of Big Data’, Matthew Driscoll and Roger Ehrenberg draw an apt parallel between the earth’s vast oil reserves and big data: until recently it wasn’t economically and technically feasible to mine these resources efficiently. In both cases, that’s changing.”
“It’s obvious that Medicare’s and Medicaid’s default button is set to ‘pay the claim’ instead of seeking more complete verification that the patient needed the benefit or actually received it. There is no other way people could rip off the agencies for so much money - like the three brothers from Miami suspected of fraud for $119 million worth of billing for HIV drugs before reportedly fleeing to Cuba.”
“‘Terrorism is a threat to Arizona as much or more than many states because of our size, and critical industries we have here.’ Roughly 200 people work there, including FBI agents, Homeland Security agents, and police officers from different departments around Arizona. They analyze tips and track down leads, anything having to do with potential terrorist activity.”
“When I explain to people why the Big Data movement is important — why it’s a real change instead of a fad — I point to price as the fundamental difference between the old and new worlds. Until a few years ago, the state of the art for doing meaningful analysis of multi-gigabyte data sets was the data warehouse. These custom systems were very capable, but could easily cost millions of dollars. Today I can hire a hundred machine Hadoop cluster from Amazon for just $10 an hour, and process thousands of gigabytes a day.”
“The Aite Group recently authored a report entitled ‘Internal Fraud: The Devil Within.’ After surveying 35 fraud and product executives at financial institutions across the U.S. and Canada, they concluded that internal fraud is a severe and growing problem that often goes undetected and almost always flies under the radar of public scrutiny.”
“The second type of identity resolution is similar but different. The classic example is in police work. Here you want to know that some particular criminal has fifteen different aliases, say. Moreover, under each of those identities he or she will have multiple contacts and you may want to do social network analysis against those contacts to see who else might have criminal tendencies.”
“In October, the Chicago Police Department’s new crime-forecasting unit was analyzing 911 calls for service and produced an intelligence report predicting a shooting would happen soon on a particular block on the South Side. Three minutes later, it did, police officials say. That got police Supt. Jody Weis thinking. He wondered if the department could produce intelligence reports even quicker. Next time, officers might have an hour’s notice before a shooting — instead of just a few minutes.”
“The indictment alleges that, from approximately January 2004 to September 2007, the defendants perpetrated a scheme to defraud mortgage lenders by submitting fraudulent loan applications with material misrepresentations, including misrepresentations concerning the borrower’s income, assets, employment status, and intent to use the home as the borrower’s primary residence… The scheme involved more than $20 million in losses to lenders.”
“A total of 389 guards and other workers have filed more than 500 claims, including about 290 still pending. About 230 of these claimed injury for the underlying cause of ‘repetitive trauma,’ including carpal tunnel syndrome, an injury of the wrist. The prison employs about 760 workers, of which 567 are guards. ‘The Department of Insurance is investigating recent questions raised in connection with workers’ compensation claims filed against the state of Illinois at the Menard Correctional Center,’ department spokesman Louis Pukelis said Tuesday in a written statement.”
“As states and localities have put up fusion centers designed precisely to overcome this, however, they’ve had to face a different challenge: ensuring not only the quantity but the quality of information they collect and report. In candid conversations with Homeland Security Today, leading privacy advocates, scholars and state law enforcement and federal officials addressed some of the key facets of this challenge, as well as steps that can be taken to ensure that fusion centers live up to their full potential as a counterterrorism tool.”
“North Carolina’s Medicaid fraud investigators pulled in millions last year through dozens of cases of fraud and patient abuse, the state’s attorney general’s office reported Monday. The office’s Medicaid Investigations Unit prosecuted 22 criminal convictions and 18 civil settlements, recovering $53.5 million, during the federal fiscal year that ended Sept. 30, according to a press release from N.C. Attorney General Roy Cooper.”
“Needless to say, it’s a huge deal. Gartner recently put cloud computing at the top of its list of top strategic technologies for 2011 and it’s far from the only expert extolling the glory of the Web-hosted software and infrastructure. For small businesses, the significance of this primarily comes down to cost. In many cases, using cloud-based infrastructure is cheaper than running and maintaining one’s own physical servers.”
“Professional analysts and law enforcement officers from more than 15 different agencies including the FBI, ATF, DEA, US Marshall’s, Homeland Security, and state and county partners work from one large room to put out intelligence products in a truly collaborative environment that defines New Jersey’s fusion center. Products include crime mapping with predictive analysis to help local departments know when and where crimes are likely to occur in the future.”
“Morgan’s prison sentence will be followed by three years of supervised release. Morgan was ordered to pay restitution of $2,804,462. Morgan, 64, was convicted in October 2008, of 69 counts of health care fraud, following a two-week jury trial in Albany. Michael J. Moore, U.S. attorney for the Middle District of Georgia, said the indictment charged that for a period of several years ending in August 2007, Morgan, a registered pharmacist and the owner of Thrift Center Pharmacy in Camilla, executed a scheme to defraud the Georgia Medicaid program, which is jointly funded with state and federal funds.
“TCSPs are often involved in some way in the establishment and administration of most legal persons and arrangements; and accordingly in many jurisdictions they play a key role as the gatekeepers for the financial sector. This report provides a number of case studies which demonstrate that TCSPs have often been used, wittingly or unwittingly, in the conduct of money laundering activities.”
“We talked a week ago about the rapidly emerging market space called Big Data. One statistic that opened my eyes is Gartner’s prediction that the volume of new data generated by enterprises will grow by 650% in the next five years, and 80% of that will be unstructured data! The 451Group’s definition of Big Data describes a growing need for non-traditional processes that can treat massive amounts of data as a whole, thereby making it impossible to use many traditional tools and techniques.”
“These tools will integrate many of the agency’s pilot programs into the National Fraud Prevention Program and complement the work of the joint HHS and Department of Justice Health Care Fraud Prevention and Enforcement Action Team (HEAT). ‘Preventing fraud is more effective than the old ‘pay and chase’ model of fighting fraud after a sham provider has been paid and disappeared,” CMS administrator Donald Berwick said in a statement. “By using new predictive modeling analytic tools we are better able to expand our efforts to save the millions — and possibly billions — of dollars wasted on waste, fraud, and abuse.’”
“Concerns that internal initiatives, and the CIO’s clout, will be gutted and most funds redirected to the cloud are overstated–for now. But we are at an inflection point: IT has money to spend, but it can’t be allocated using the same old budget process that’s kept us in a rut of dedicating a third or more of our resources to keeping the lights on. Business leaders have little patience for high-priced, long-term IT slogs. They’ve seen massive 18-month projects fail and experienced success with lightweight software-as-a-service offerings. CIOs must look at each expenditure and think, ‘Will this buy us flexibility and advance the business?’”
“The technology to connect the dots from disparate data sources already exists, and has done for quite some time. It’s called “entity resolution,” and corporations have been using it for years to compile and ensure accuracy in consumer data. Entity resolution can help avoid many of the mistakes that led to the attempted Christmas bombing: it can overcome spelling errors in databases, alert the right people to a threat in real time, and correlate literally billions of records on an ongoing basis.”
“So-called false positives, such as when Senator Edward Kennedy of Massachusetts was barred from a flight in 2004 because his name matched an alias on a watch list, are eliminated under the new program, the agency has said. The computer system the government uses is more sophisticated than the one employed by airlines, and more detailed information is now collected from travelers, the security agency has said.”
“In just the last fiscal year, we obtained settlements and judgments of more than $2.5 billion in False Claims Act matters alleging health care fraud. This marked a new record – and an increase of more than 60 percent from fiscal year 2009. We also opened more than 2,000 new criminal and civil health-care fraud investigations, reached an all-time high in the number of health-care fraud defendants charged, stopped numerous large-scale fraud schemes in their tracks, and returned more than $2.5 billion to the Medicare Trust Fund and more than $800 million to cash-strapped state Medicaid programs.”
“Gartner reports that due to the sluggish economy, customer demand for MDM software is growing at a significantly slower rate than years past. But it is growing. The analyst firm predicts that the overall market for MDM software will increase from $1 billion in 2008 to $2.9 billion by 2013. Gartner also predicts that by 2010, investments in MDM software will lead to an 80% reduction in costs associated with managing redundant data.”
“Some of the nation’s 72 fusion centers–where federal, state, and local law enforcement agencies share data on terrorism and crime threats–may face budget problems in the nation’s tough economic conditions. Ross Ashley of the National Fusion Center Association, which represents the centers, says that some newly elected governors must be convinced of the centers’ worth. The agencies typically do not have line-item budgets and are dependent on allocations from various levels of government to operate.”
“In addition to 12 years in state prison, Montes was ordered to pay more than $1.7 million in restitution with more than $286,000 ordered for FTB for failing to file and report almost $1.5 million in income relating to the insurance fraud during the years 2004, 2005 and 2006.”
“The DHS Office of Intelligence and Analysis, where I serve, takes information and intelligence from across DHS and the national Intelligence Community, processes and analyzes it, and then shares it with the fusion centers, often in joint products with the FBI. The fusion centers then disseminate it to the some 18,000 state, local, tribal, and territorial law enforcement organizations, and to thousands more first responders throughout the country.”
“We’re currently in the heat of the election season. No matter how impeccable the record of any candidate that the major parties put forward, minions of the opposing parties go to great lengths to uncover an embarrassing incident that can be exposed (or even an incident that can be twisted to appear embarrassing) in order to influence voters away from voting for that candidate. While the populace is reasonably good at figuring these tricks out, even more disturbing are the stories involving voter fraud.”
“Also, many data quality vendors specialize and provide depth of expertise in a focused part of the data quality market such as postal address verification (e.g., Experian QAS, Melissa DATA), matching or identity resolution [e.g., Infoglide Software, Netrics (acquired by TIBCO Software), and Pervasive Software], and data profiling (e.g., Ab Initio and Business Data Quality).”
“The R.I. State Fusion Center, a state police unit that tracks information on homeland security and crime, assisted in the investigation through the use of facial recognition software that determined that Medrano had been previously issued a Massachusetts identity document in his real name.”
“While TSA’s watch-list matching takes seconds and can be completed up until the time of departure, the agency cautions passengers that a boarding pass will not be issued until the airline submits complete passenger data to Secure Flight. The agency noted that, despite the crackdown, minor variations in the name on the boarding pass and ID, like middle initials, should not present problems at checkpoints.”
“On the one hand, recognition of the power that entity resolution can bring to bear on challenging problems both in the commercial and public realms continues to increase. On the other hand, resistance to change and lack of budget seem to be inhibiting dramatic increases in productivity and effectiveness that could be gained by a more rapid uptake of this new technology.”
“Cloud computing, social computing, context-aware computing, and pattern-based strategy are the four big trends that will alter IT in the next few years, according to Peter Sondergaard, SVP of Research for Gartner… Each of these trends is disruptive, he said, but the combination is an ‘unimaginable force’ that will transform not just IT, but business and government.”
“The TSA estimates that only about 1 percent of travelers won’t make it through security because of a discrepancy, Kimball says. Although it’s unlikely you won’t be able to fly because of a mishap, you still might be delayed if your ID and ticket don’t match up. That hold-up will likely be less than five or 10 minutes while screeners verify your ID and boarding pass, Orbitz’s Tornatore estimates.”
Infoglide Software provides entity resolution and analysis solutions for retail, banking, insurance, government, and law enforcement. Without the need for data cleansing or warehousing, Infoglide Software's Identity Resolution Engine™ (IRE) analyzes all of the information relating to individuals and/or entities from multiple sources of data and then applies...
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