A benchmarking approach for characterizing providers’ patterns of treating patients with substance use disorder

It is difficult to identify fraud, waste, and abuse (FWA) in substance use disorder (SUD) treatment. Insurers use outlier detection models to detect SUD-related FWA but these models require credible benchmarks based on cross-payer claims data. To our knowledge, these benchmarks have not been establi...

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Bibliographic Details
Main Authors: Sivagaminathan Palani, Steven D. Pizer, Cecille Joan Avila, Austin B. Frakt, Kiersten L. Strombotne, Melissa M. Garrido
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:Healthcare Analytics
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772442523000011