This paper is in the following e-collection/theme issue:

Blockchain, Distributed Ledger Apps for Health and Medicine (82)

Published on in Vol 22, No 9 (2020): September

Preprints (earlier versions) of this paper are available at https://preprints.jmir.org/preprint/18623, first published .
Combating Health Care Fraud and Abuse: Conceptualization and Prototyping Study of a Blockchain Antifraud Framework

Combating Health Care Fraud and Abuse: Conceptualization and Prototyping Study of a Blockchain Antifraud Framework

Combating Health Care Fraud and Abuse: Conceptualization and Prototyping Study of a Blockchain Antifraud Framework

Authors of this article:

Tim Ken Mackey1, 2, 3, 4 Author Orcid Image ;   Ken Miyachi2, 5, 6 Author Orcid Image ;   Danny Fung2 Author Orcid Image ;   Samson Qian2 Author Orcid Image ;   James Short2 Author Orcid Image
Article Authors Cited by (28) Tweetations (14) Metrics

Journals

  1. Rolfe A. Weighted risk models for dynamic healthcare fraud detection. Risk Management and Insurance Review 2021;24(2):143 View
  2. Ng W, Tan T, Movva P, Fang A, Yeo K, Ho D, Foo F, Xiao Z, Sun K, Wong T, Sia A, Ting D. Blockchain applications in health care for COVID-19 and beyond: a systematic review. The Lancet Digital Health 2021;3(12):e819 View
  3. Saeed G, Kohler J, Cuomo R, Mackey T. A systematic review of digital technology and innovation and its potential to address anti-corruption, transparency, and accountability in the pharmaceutical supply chain. Expert Opinion on Drug Safety 2022;21(8):1061 View
  4. Abutaleb R, Alqahtany S, Syed T. Integrity and Privacy-Aware, Patient-Centric Health Record Access Control Framework Using a Blockchain. Applied Sciences 2023;13(2):1028 View
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  9. Kim J, Kim S, Cha W, Kim T. A Blockchain-Applied Personal Health Record Application: Development and User Experience. Applied Sciences 2022;12(4):1847 View
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  12. Kamišalić A, Kramberger R, Fister I. Synergy of Blockchain Technology and Data Mining Techniques for Anomaly Detection. Applied Sciences 2021;11(17):7987 View
  13. Kordestani A, Oghazi P, Mostaghel R. Smart contract diffusion in the pharmaceutical blockchain: the battle of counterfeit drugs. Journal of Business Research 2023;158:113646 View
  14. Kaafarani R, Ismail L, Zahwe O. An Adaptive Decision-Making Approach for Better Selection of Blockchain Platform for Health Insurance Frauds Detection with Smart Contracts: Development and Performance Evaluation. Procedia Computer Science 2023;220:470 View
  15. Nalluri V, Chang J, Chen L, Chen J. Building prediction models and discovering important factors of health insurance fraud using machine learning methods. Journal of Ambient Intelligence and Humanized Computing 2023;14(7):9607 View
  16. Nabrawi E, Alanazi A. Fraud Detection in Healthcare Insurance Claims Using Machine Learning. Risks 2023;11(9):160 View
  17. Liang X, Zhao J, Chen Y, Bandara E, Shetty S. Architectural Design of a Blockchain-Enabled, Federated Learning Platform for Algorithmic Fairness in Predictive Health Care: Design Science Study. Journal of Medical Internet Research 2023;25:e46547 View
  18. El-Samad W, Atieh M, Adda M. Transforming Health Insurance Claims Adjudication with Blockchain-based Solutions. Procedia Computer Science 2023;224:147 View
  19. Haque M, Tozal M. Identification of Fraudulent Healthcare Claims Using Fuzzy Bipartite Knowledge Graphs. IEEE Transactions on Services Computing 2023;16(6):3931 View
  20. Mahapatra S, Sinha D. Smart h‐Chain: A blockchain based healthcare framework with insurance fraud detection. Transactions on Emerging Telecommunications Technologies 2024;35(4) View
  21. Settipalli L, Gangadharan G. QFBN: Quorum-Based Federated Blockchain Network for Healthcare System to Avoid Multiple Benefits and Data Breaches. IEEE Consumer Electronics Magazine 2024;13(2):24 View
  22. Ilkic J, Milovanovic M, Marinkovic V. Prospective systematic risk analysis of the digital technology use within pharmaceutical care. Journal of the American Pharmacists Association 2024;64(4):102081 View
  23. Liang X, Alam N, Sultana T, Bandara E, Shetty S. Designing A Blockchain Empowered Telehealth Artifact for Decentralized Identity Management and Trustworthy Communication: An Interdisciplinary Approach (Preprint). Journal of Medical Internet Research 2023 View

Books/Policy Documents

  1. Sharkey-Toppen T, Hoffman T, McCamey K, Bahner D. Blockchain in Healthcare. View
  2. McKay D, Mashatan A. Blockchain in Life Sciences. View
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