Predictive Modeling Bulletin
  Complimentary from the publishers of Predictive Modeling News                July, 2014  
 
 
Enterprise Rating Agility Improves Payer Response to Healthcare Reform
 
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Quote
  "Over the past several years, two predictive modeling initiatives that have had significant impact on healthcare processes and outcomes are (a) member identification, stratification and triaging for care management and (b) risk assessment and risk adjustment in support of payment innovation efforts for the population health management and shared savings/incentives/revenue.... Proactive identification of high-risk members and addressing their care needs in a timely fashion has also led to cost-of-care savings. Payment innovation efforts and delegation of risk management from payers to providers have created partnerships between payers and providers around sharing payer informatics and best practices for population health management. Attributed population underlying illness burden and its impact on savings/incentives/revenue has been addressed by payers through risk adjustment. Such use of predictive modeling has led to better adoption of payment innovations by providers.” Soyal Momin MS MBA, HealthCore
 
Factoid
 
For the seventh year in a row, a majority of respondents, 58.2%, ranked identification of high-risk patients for care management as the highest priority for how an organization could spend its funds on predictive modeling initiatives.

Excerpted from: Predictive Modeling News, Volume 7 Number 7, July 2014, "Survey Details Predictive Modeling Activity Priorities"

 
What's News
  Demand for big data gets bigger: Healthcare predictive analytics 'deserves special attention and scrutiny.'
Healthcare IT News, June 30, 2014
 
     
  When a Health Plan Knows How You Shop
The New York Times, June 28, 2014
 
     
  The New Science of Predicting and Managing Clinical Trial Cost and Performance
Applied Clinical Trials, June 26, 2014
 
     
  Medicare: Predictive analytics working to fight fraud
The Hill, June 25, 2014
 
     
Online predictive analytics simulator tackles ED bottlenecks
HealthITAnalytics, June 12, 2014
     
  Can predictive analytics help reduce hospital-acquired infections?
MedCity News, June 5, 2014
 
     
This Month in Predictive Modeling News
 
  • Survey Details PM Activity Priorities
  • Reports Detail Growing Analytics Market
  • HOS Deploying ePRISM, Moving Into New Clinical Areas
  • Thought Leaders’ Corner: “What type of predictive modeling initiatives that you were involved with over the past several years had the most overall impact for the sponsoring organization – and why?"
  • Industry News with briefs regarding Decision Resources Group; TCS, CMSA and ABQAURP; Corvel; e-MDs and Lightbeam Health Solutions; and Explorys and Lancaster General Health
  • Catching Up With….Adam Kaufman PhD
  • Click here to view page one of this issue
  • Click here to subscribe to Predictive Modeling News, or find out more
 
 
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