Fraud, Waste & Abuse

Fraud, waste, and abuse cost government agencies millions-even billions-every year. Healthcare programs such as Medical Cards and Social Welfare are common target as other social support programs ranging from educational support to taxation. Taxpayers end up paying the bill-decreasing their confidence in government’s ability to manage crucial services and valuable public funds.

Predictive analytics makes it feasible for analysts to:

  • Detect errors and improper payments in the administration of program benefits.
  • Uncover abuse in programs.
  • Improve the monitoring of performance.

 Case Study

Reducing incidents of flooding and improving customer service and satisfaction
Yorkshire Water improves identification of areas at risk from flooding by using SPSS Predictive Analytics. Read more

In combating fraud, waste, and abuse, predictive analytics solutions from Presidion provide valuable assistance. Predictive analytics technologies enable organisations to “connect the dots” faster in order to anticipate and even prevent instances of fraud, waste, and abuse. Inspectorate and audit offices can prioritise investigations and dedicate staff and other resources to the cases most likely to lead to the recovery of significant monetary amounts.

 Case Study

Health insurer detects insurance fraud with IBM SPSS predictive analytics software
Zorg en Zekerheid turned to the data mining solution, IBM® SPSS® Modeler to detect anomalies regarding claims. Read more

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  • "As we draw towards the successful conclusion of the above project I want to express my thanks to your staff and my admiration for their skills and professionalism."

    Loman O’Byrne
    Chief Executive, South Dublin County Enterprise Board
  • "By using the software tools provided by SPSS, we have cut out process time by 70 percent.…Because the output generate by SPSS is so impressive, it makes people in authority sit up and take notice of your results."

    Jacqueline Martin
    Principal Support Officer at East Ayrshire Council
  • "Measurement is critical to give us an accurate picture of the way things are in the field and identify areas for change or improvement," stated Gatt. "Dimensions is an excellent tool that enables us to measure and immediately understand what is occurring and then take appropriate action."

    Chaim Gatt
    PhD, Director of research and statistics in the Ministry of Education's IT division
  • "The SPSS scanning process and capability to drill down into our public consultation survey data has become a bedrock on which the project can move forward. Our increased survey and analysis capability has also impressed several partners who have now fully bought into the National Reassurance Project in Oldham."

    Keith Bentley
    Chief superintendent of Operations at Oldham
  • "While previously the full investigation process might have taken weeks, we're now able to track down fraud cases within days. We typically express the added value of our department in terms of financial results. By using IBM SPSS Modeler, these results have doubled each year since 2007."

    Andor de Vries
    Fraud Analyst at Zorg en Zekerheid
  • "Now, by using SPSS expertise and their online survey capabilities, it was easier and faster to measure opinions. Dimensions is an excellent tool that enables us to collect feedback in a timely manner and also deliver huge cost savings to the organisation."

    Ian McKenna
    Head of Framework Awards at HETAC
  • "Literally hundreds of intervening variables have been identified and SPSS software has proven invaluable in determining which of these have the most impact when planning and delivering services."

    Dr. Tony Alderton
    Researcher at Kent County Council