Tuesday, September 23, 2025


Banks that identify fraudsters increase loyalty, retain more defrauded customers than others who never were compromised





University of Notre Dame






Financial institutions are constantly fighting off fraudsters who steal money from customer accounts. Banks spend millions each year to figure out who was responsible and keep customers from leaving; however, in most cases it’s nearly impossible to figure out who committed the fraud.

Should banks continue pouring resources into investigations that don’t lead to accountability? The short answer is yes, according to Vamsi Kanuri, the Viola D. Hank Associate Professor of Marketing at the University of Notre Dame’s Mendoza College of Business. In a new research study, Kanuri found that if a bank can’t tell a customer who was responsible for a fraudulent transaction, that customer loses trust, closes their account and leaves the bank.

In “Mitigating Churn After Online Financial Fraud: The Value of Blame Attribution,” published in the forthcoming issue of the Production and Operations Management journal, Kanuri examined data from a major U.S. bank covering 422,953 customers over five years. The study showed that a lack of clear answers from the bank resulted in a big increase in people who had experienced fraud leaving — 40 percent more than those who were never defrauded in the first place.

Kanuri, along with Mendoza’s Sriram Somanchi and Rahul Telang from Carnegie Mellon University, showed that, surprisingly, when the bank catches the real fraudster, not only do customers feel more secure, but also 62 percent fewer leave compared with customers who never experienced fraud at all.

“Intuitively, we might expect that any instance of fraud would harm the relationship between a customer and their bank, even if the case was resolved,” Kanuri said. “After all, fraud is a serious violation of trust, and you would think it would automatically push customers closer to the exit. Yet we show the opposite in cases of correct attribution: Not only do customers stay, but they also display higher levels of loyalty than those untouched by fraud. This is a real-world demonstration of the service recovery paradox, where effective handling of a failure can make customers more loyal than if no problem had occurred.”

Financial institutions are increasingly faced with sophisticated phishing scams where perpetrators create mass email campaigns that redirect users to a fake bank login page to collect their login credentials. Fraudsters can even circumvent state-of-the-art two-factor authentication checks by taking control of users’ phones through SIM jacking and inheriting the users’ geographic identity using geo-spoofing techniques.

A bank that fails to catch fraudsters creates an immediate, lasting impression of unreliability, though it fades over time. On the other hand, a bank that successfully catches fraud and protects its customers earns a stronger, more permanent reputation for competence. Kanuri said this demonstrated that “how fraud is resolved shapes not only immediate reactions, but also the long-term relationship between banks and their customers.”

Not all customers react the same way.

The data revealed that factors such as tenure and how often customers interact with their bank influence their responses. Customers with shorter relationships and fewer touchpoints are more likely to leave a bank if a fraudster goes unidentified, since they don’t have a long history of trust to rely on. Longer-tenured customers or those who engage more frequently with the bank are more forgiving.

“Interestingly, when the bank successfully identifies a fraudster, these differences largely disappear,” Kanuri said, “since the act of identifying the culprit provides enough reassurance to restore trust across the board.”

The data, which included customer demographics, account activity, tenure, balances, interactions with the bank and instances of fraud, as well as a follow-up experiment confirmed that what really drives customer behavior after fraud is how much they believe in the bank’s ability to safeguard their accounts. When fraudsters are not identified, this undermines trust, prompting people to withdraw money, move funds elsewhere and eventually close their accounts. When they are identified, the opposite happens. It restores confidence, encourages loyalty and sometimes even strengthens the customer-bank relationship.

The results provide evidence in support of reforms proposed by the U.S. Treasury Department to increase transparency in ACH transactions and require money-transfer apps to report them. Such changes would make it easier for banks to trace perpetrators, assign blame and reduce customer defection. Beyond the financial upside, these reforms could also reinforce trust in financial institutions by making service recovery more effective.

“The payoff of fraud investigations comes in the form of loyalty, not direct financial recovery, which is not the way most people in the industry are accustomed to thinking about it,” Kanuri said.

Contact: Vamsi Kanuri, 574-631-2399, vkanuri@nd.edu

WOMENS HEALTH

Mammograms may benefit women well into their 80s, UCLA study finds




University of California - Los Angeles Health Sciences





For many older women, the question of whether to continue breast cancer screening has been uncertain. While most guidelines recommend mammograms up to age 74, advice for women 75 and older has been less clear. Now, a new study from researchers at the UCLA Health Jonsson Comprehensive Cancer Center suggests that regular mammograms may still offer significant benefits for women in their 80s.

The study, published in the Annals of Surgical Oncology, found that women in their 80s who get regular mammograms are more likely to have breast cancer detected early, need less aggressive treatment and live longer.

“When cancer is found on screening, it is often early stage,” said Dr. Nimmi Kapoor, an associate professor of surgery at the David Geffen School of Medicine at UCLA and senior author of the study. “In postmenopausal women with the most common hormone-sensitive breast cancers, we can often omit sentinel lymph node biopsy, chemotherapy, and sometimes even radiation. Screening is especially important in this era of de-escalation because early detection allows us to safely reduce the intensity of treatment while still achieving excellent outcomes.”

The number of older adults in the U.S. has grown rapidly over the past decade, and age is a major risk factor for breast cancer. As a result, determining the most effective way to screen older women has become increasingly important, the researchers noted. Yet guidance is limited, leaving many women and their doctors uncertain about when to continue or stop routine mammograms. Screening in older women also raises concerns about overdiagnosis, when cancers are detected that may never cause problems, and the associated costs. 

With limited data on the benefits of mammography for women over 80, the researchers set out to compare outcomes between those who continued regular screening and those who did not.

The team analyzed medical records of 174 women aged 80 and older who were diagnosed with breast cancer at UCLA between 2013 and 2020. Most cancers were estrogen receptor–positive and HER2-negative and were mostly stage 1 or 2. Patients were divided into two groups: Those who had a mammogram within two years before their diagnosis (98 women) and those who did not (76 women). They then compared outcomes —including cancer stage at diagnosis, treatment intensity, and overall survival— between the two groups.

They found that women who did not have regular mammograms were more likely to have tumors that were advanced, high-grade or noticeable by touch. Screened women were more likely to have surgery to remove the tumor, while unscreened women sometimes omitted surgery altogether.

After a median follow-up of 55 months, they found women who were screened had a 55% lower risk of their cancer returning and a 74% lower risk of dying compared with women who were not screened. These advantages remained even after accounting for age, tumor type, and whether they had surgery.

"We were surprised to see such a significant survival difference among these women in their 80s," said Kapoor, who is also an investigator in the UCLA Health Jonsson Comprehensive Cancer Center. "Our findings underscore the importance of encouraging breast cancer screening in elderly patients, regardless of age, unless they have more pressing health issues. Current guidelines are vague and often left to the provider’s discretion, so studies like ours help provide much-needed data for this underrepresented population."

While the findings are encouraging, the researchers noted some limitations. The study looked back at medical records and only included women who were ultimately diagnosed with breast cancer, so it doesn’t capture potential downsides of screening, such as false positives, extra tests, or the emotional and financial stress on patients and their families. Larger studies are needed to confirm the benefits of mammograms for older women and to guide clearer screening recommendations.

The study’s first author is Dr. Siu-Yuan Huang, a recent graduate from the UCLA Health Breast Surgical Oncology Fellowship. Other authors, all from UCLA, are Makaelah Murray, Angelique Rubio, Nneoma Okoro, Dr. Mina S. Sedrak, Dr. Susan A. McCloskey, Dr. Nicholas Jackson and Dr. Mediget Teshome.

 

Availability of respite care almost triples a palliative care patient’s chance of dying at home



McGill research offers insights into how Quebec government can implement its action plan for equitable access to quality palliative and end-of-life care




McGill University





Access to respite services for family caregivers increases a palliative care patient’s probability of dying at home almost threefold, according to a McGill University-led study.

Previous surveys suggest most Canadians with a serious illness would prefer to spend the end of their lives at home. In Quebec, fewer than one-in-10 palliative care patients die at home, a rate that has remained largely unchanged for two decades and lags behind the Canadian average of 15 per cent.

Funded by Quebec’s health ministry as part of its action plan for equitable access to quality palliative and end-of-life care, the study set out to find which factors matter most in helping patients avoid a transfer to a hospital or palliative care centre in their final days.

Respite care – professional help that allows family caregivers to take short breaks –emerged as the strongest predictor, with patients 2.7 times more likely to die at home when it was available.

Timely access to nursing care, support with hygiene such as bathing, and pain-relief services also were significant factors.

“An at-home palliative and end-of-life care approach that addresses the physical, psychological, spiritual and social needs of patients and their caregivers enables patients to remain at home longer and to die at home when that is their wish,” said lead author Kelley Kilpatrick, Assistant Professor and Susan E. French Chair in Nursing Research and Innovative Practice at McGill’s Ingram School of Nursing.

The researchers conclude that Quebec can achieve its equity goals by:

  • investing in respite services
  • reducing staff turnover in home care to build trust and continuity for patients
  • standardizing services across the province so patients aren’t disadvantaged by where they live
  • mobilizing specialized nurse practitioners to provide support.

The findings are based on nearly 6,000 patient records from a Montreal at-home palliative care organization between 2015 and 2024, along with 73 interviews with patients, caregivers, service providers and decision-makers. On average, patients were 78 years old, nearly all had cancer and more than one-in-four lived alone.

About the study

Factors that support home deaths for patients receiving at-home palliative and end-of-life care: a sequential mixed-methods explanatory study by Kelley Kilpatrick and Eric Tchouaket et al., was published in BMC Palliative Care.

The research was funded by the Ministère de la Santé et des Services sociaux du Québec, the Newton Foundation and the Fonds de recherche du Québec – Santé. It was done in collaboration with the CIUSSS de l'Est-de-l'ÃŽle-de-Montréal and the Société des soins Palliatifs à Domicile du Grand Montréal.