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67.192  Articles
1 of 6.720 pages  |  10  records  |  more records»
Detecting fraud in the healthcare insurance dataset is challenging due to severe class imbalance, where fraud cases are rare compared to non-fraud cases. Various techniques have been applied to address this problem, such as oversampling and undersampling ... see more

Termination of health service coverage for medical acupuncture by BPJS in January 2015 on the grounds that medical acupuncture includes traditional health services contained in Presidential Decree number 12 of 2013 article 25 (j). Previously, medical acup... see more

Goal: This study aims to investigate the best promotional communication strategy for health insurance products, to prove or refute the hypothesis that messages should explore risk and loss aversion.Method: This research was of the causal conclusive type, ... see more

Abstract: The Health Social Security Administering is a public institution mandated by the President as the organizer of Social Security, including the health sector. In practice, The Health Social Security Administering carries out its duties by ref... see more

Efforts to reduce maternal and infant mortality through various programs including the National Health Insurance program. Midwives play an important role in reducing MMR and IMR, because the midwife is a health worker at the forefront and deal directly wi... see more

National Health Insurance is very interesting to study, because it relates to the right of the community to obtain social security as mandated by the 1945 Constitution of the Republic of Indonesia. Health is one of the human rights in addition to the righ... see more

AbstractThis is a report on Chiawelo Community Practice (CCP) in Ward 11, Soweto, South Africa, a community-oriented primary care (COPC) model for National Health Insurance (NHI) in South Africa, developed by a family physician. A shift to capitation cont... see more

AbstractBackground: To improve healthcare access and mitigate healthcare costs for its population, Nigeria established a National Health Insurance Scheme (NHIS) in 1999. The NHIS remains Nigeria’s leading vehicle for achieving universal health coverage; n... see more

Fraud in the national health insurance is a form of deliberate effort to create a benefit that should not be enjoyed by individuals or institutions and could harm other parties. This study aims to further analyze the potential for fraud in the implementat... see more

1 of 6.720 pages  |  10  records  |  more records»