4 research outputs found

    Zijm Consortium: Engineering a Sustainable Supply Chain System

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    In this paper we address one of the current major research areas of the Zijm consortium; engineering sustainable supply chain systems by transforming traditionally linear practices to circular systems. We illustrate this field of research with a case consisting of a network of three firms Willem (W), Hendrik (H), and Maria (M)} and show how the practice of application-oriented state of the art technology transformed their linear relation to the circular Zijm consortium. The work shows that through inspiration and knowledge transfer in the versatile picturesque Twente Region, a group of future generation researchers are shaped

    Outlier detection in healthcare fraud: A case study in the Medicaid dental domain

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    Health care insurance fraud is a pressing problem, causing substantial and increasing costs in medical insurance programs. Due to large amounts of claims submitted, estimated at 5 billion per day, review of individual claims or providers is a difficult task. This encourages the employment of automated pre-payment controls and better post-payment decision support tools to enable subject matter expert analysis. This paper presents how to apply unsupervised outlier techniques at post-payment stage to detect fraudulent patterns of received insurance claims. A special emphasis in this paper is put on the system architecture, the metrics designed for outlier detection and the flagging of suspicious providers which may support the fraud experts in evaluating providers and reveal fraud. The algorithms were tested on Medicaid data encompassing 650,000 health-care claims and 369 dentists of one state. Two health care fraud experts evaluated flagged cases and concluded that 12 of the top 17 providers (71%) submitted suspicious claim patterns and should be referred to officials for further investigation. The remaining 5 providers (29%) could be considered mis-classifications as their patterns could be explained by special characteristics of the provider. Selecting top flagged providers is demonstrated to be a valuable as an targeting method, and individual provider analysis revealed some cases of potential fraud. The study concludes that, through outlier detection, new patterns of potential fraud can be identified and possibly utilized in future automated detection mechanisms

    Resource inventory for fostering industrial symbiosis practices

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    In this paper, we investigate the potential environmental benefits obtainable in Industrial Symbiotic Networks (ISNs) in case firms stock wastes when the demand is lower than supply. We design multiagent-based simulations to model the spontaneous emergence and operations of ISNs over time where firms are involved in substitution-based symbiotic relationships. In each simulation, we compute: 1) the amount of resources saved with respect to the amount of produced wastes; and 2) the amount of resources not saved because of the lack of inventory compared to the produced amounts. Results show that waste stocking could be a useful strategy to reduce the negative effects of the waste market dynamicity on the match between demand and supply
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