“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.”
“We have a new Congress and a new House majority leader as of this week’s swearing in ceremony. The current House majority party (R) plans to pass a bill to repeal the ‘Obamacare’ bill passed during the last session by the former House majority party (D). Both parties make ‘fact based’ arguments about why killing or keeping the bill will reduce the deficit, yet both can’t be right. This isn’t a political blog, and I’m not going to take a side on this issue. What struck me is how often we use ‘facts’ to bolster our argument, with ‘facts’ defined as any real data that can be massaged or misinterpreted to suggest that our desired outcome appears to be the best one.”
“When she arrived at the screening area, her husband’s incorrect name had already been checked against a list of potential security threats and had passed. Once passengers receive their boarding passes, the Secure Flight process is already complete, according to the TSA.”
“Identity matching requires matching practitioners to decide which collection of fields best allows the correct matching of one record with another. The choice can be made from fields such as name, date of birth, address details, sex / gender, and even unique identifier values (when they exist). The use of sex / gender in that process might be seen in a slightly different light.”
“Under the bill, the commission would establish procedures for the payment of winning tickets holders, which may include crediting amounts won to a player’s account or direct deposit into a player’s account at a financial institution… The commission would also be directed to ensure that the program includes security measures to protect against fraud, prevent wagering by underage persons and protect the personal and financial information of players.”
“Strategic decisions about cloud computing should both draw upon and inform the EA. An organization must have a mature and well formed understanding of its architecture components (e.g., business processes, services, applications and data) to make meaningful decisions related to cloud computing, such as whether a move to the cloud is advantageous, what services most lend themselves to a cloud deployment, and what cloud deployment model (e.g., private, public) makes the most sense. There are three key roles for EA in facilitating cloud computing strategy and planning…”
“‘Medicaid cheaters rob taxpayers, hurt needy patients and push medical costs higher for all of us,’ Cooper said in a statement. ‘We’re stopping the waste and abuse and making violators pay.’ During the federal fiscal year that ended Sept. 30, the Medicaid Investigations Unit of the state Attorney General’s Office won 22 criminal convictions and negotiated 18 civil settlements worth $53.5 million.”
“Under Secure Flight, the Transportation Security Administration (TSA) prescreens passenger name, date of birth and gender against terrorist watchlists before passengers receive their boarding passes. In addition to facilitating secure travel for all passengers, the program helps prevent the misidentification of passengers who have names similar to individuals on government watchlists. Prior to Secure Flight, airlines held responsibility for checking passengers against watchlists.”
“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?’”
“Early this year, Gartner suggested that a ‘data deluge’ has begun. In his recent Dataspora Blog post about ‘Big Data’ and what it means, author Michael Driscoll presents a unique and interesting perspective on the massive amounts of data being generated and stored. According to The 451 Group’s definition…”
“Gartner released a report in November entitled, ‘Top 10 Technology Trends Impacting Information Infrastructure, 2011.’ Two of the top ten trends were ‘Entity Resolution and Analysis’ and ‘Master Data Management.’”
“According to Taxpayers Against Fraud, a nonprofit group based in Washington, D.C., National Medical then launched a campaign to force Ven-A-Care out of business. But in fighting back, Ven-A-Care staff discovered National Medical was paying kickbacks to doctors who prescribed medicines and services that weren’t needed, then billing Medicare and Medicaid exorbitant sums far in excess of what the medicines and services cost. The Justice Department eventually got a $486 million settlement from National Medical — and Ven-A-Care received $40 million as its reward under the False Claims Act.”
“Russian financial institutions reported 120 trillion roubles (2.44 trillion pounds) of suspicious transactions to the anti-money laundering watchdog in the first nine months of 2010, the Kommersant daily reported on Monday.”
“Immediately after the Christmas bomber incident in 2009, we highlighted the positive role that broader deployment of (id)entity resolution software could play in preventing terrorist actions. That thought was seconded this week in a piece published by the Canadian Broadcasting Company (CBC) entitled ‘Better data analysis for a safer world’…”
“According to the same official statement, Louisiana doled out more than $850 million in taxpayer funds to drug companies to pay for drugs between 1991 and 2009. But a significant portion of this amount was most likely fraudulent because of the billing scheme drug companies utilize to get reimbursed. The way it works is drug companies report what are called the Average Wholesale Prices (AWPs) for drugs, and are subsequently reimbursed by state Medicaid programs for these amounts. But the lawsuit alleges that drug companies were marking up these costs as high as 6000 percent above actual costs.”
“Last month a father and son who worked at Burlington store were charged, along with another family member, with stealing a $12.5-million Super 7 jackpot in 2003. The case has not yet come to trial. Mr. Vikoren said that for membership cards to ensure consumer protection, people need to keep their card safe.”
“But the whole thing made me think about whether the TSA could institute a ‘trusted traveler’ program that allows vetted frequent flyers easier access through security. It’s an idea supported by the U.S. Travel Association. The organization, which promotes the interests of the travel industry, has called upon the government to consider such a measure, especially because the Department of Homeland Security is already working with airlines and online reservation systems on Secure Flight, where manifests of domestic and inbound passengers are checked against government watch lists.”
Immediately after the Christmas bomber incident in 2009, we highlighted the positive role that broader deployment of (id)entity resolution software could play in preventing terrorist actions. That thought was seconded this week in a piece published by the Canadian Broadcasting Company (CBC) entitled “Better data analysis for a safer world”:
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.
… some technologies rely on strategies that actually destroy the forensic integrity of the data. Not all identity resolution technologies are the same. Ours can be configured using a number of strategies to fit particular customer performance requirements, sensitivity to false positives or false negatives, and Similarity Search behaviors, including specialized name algorithms that catch misspellings, nicknames, and ordering variations.
The CBC article suggests how expanding the current uses of entity resolution software could bring added benefits:
If the agencies that held these disparate pieces of information were connected and running entity resolution software, red flags would be raised automatically, and those warnings quickly transmitted to the people who make decisions. The same level of intelligent technology and data analysis is important in business, where entity resolution originated.
That last statement supports our January post where we mentioned other uses for the technology:
Although the consequences are grimmer in homeland security situations, the challenges are the same for financial, healthcare, gaming, state and local government, and marketing applications.
The CBC article delineates how businesses benefit from entity resolution:
Knowing who your customers are, where they live, and what they are interested in gives your business a serious advantage - but for large organizations, that requires processing massive amounts of information. The potential for inaccuracies, duplication, and mistaken identity means that companies may be led into poor decisions by misrepresentative data. Entity resolution software was developed to mitigate these risks, and automatically format and clean up the available information.
CEO Mike Shultz has pointed out that our specific technology is “used more times every day for terrorist matching” than any other entity resolution software. Thankfully, the worlds of both business and government seem to be getting the message about the critical importance of this technology.
“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.”
“Today, everything seems to be moving into the cloud. In 2005, investment in cloud computing was about $26 million. But in 2009, the investment grew to $370 million, more than 10 times of what was invested in 2005.”
“Some of the nation’s largest banks are exiting or scaling back their dealings with foreign embassies and missions in the U.S. because of the burden of complying with money-laundering regulations… ‘It’s a commercial decision, but clearly it has ramifications for diplomatic relations,’ said Mark Toner, acting deputy spokesman for the State Department. ‘We want these foreign missions to be able to carry out their normal diplomatic functions here in the U.S.’”
“There are an estimated 50 million patient records, with 20 to 200 records per patient, resulting in billions of individual pieces of information, all of which need entity resolution: in other words, which records belong to her, him or somebody else.”
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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