Predictive Modeling Bulletin             |           October 6, 2011             |           Volume Three Issue Ten
Complimentary from the publishers of Predictive Modeling News      www.PredictiveModelingNews.com

"Retrospective or prospective bundled payments focused on a specific episode or type of care offer many advantages over one-CPT-code-at-a-time, retrospective fee-for-service payment. But such reimbursement mechanisms require sensitivity to important risk factors that are likely to influence patient costs. Predictive modeling or, more specifically, risk adjustment will be critical to payers and IDSs/ACOs wishing to ensure that each ‘bundle’ fairly considers other risk factors (e.g., multi-morbidity, severity) that may impact the costs and difficulty of providing care." Jonathan Weiner DrPH, Professor, Health Policy and Management; Director, PhD Program in Health Services Research and Policy; Deputy Director, Health Services Research & Development Center, Johns Hopkins University

Predictive Analytics and Rules Work Together to Combat Fraud
Insurance & Technology, October 3, 2011

Employee health risks may be identified by predictive modeling
Business Insurance, October 2, 2011

How CMS’s Newest Fraud Prevention Tool Works and What It Means for Providers
Health Data Analysis Update, September 29, 2011

Can business intelligence save health care?
Computerworld, September 23, 2011

How predictive analytics can deliver strategic benefits
InfoWorld, September 20, 2011 

Better Analytical Computer Tools Help Cut Medicare Fraud
Public News Service, September 19, 2011

Predictive Modeling Technology from HHS Could Enhance Payor Compliance Programs
Martindale, September 2, 2011

In the October 2011 issue of Predictive Modeling News, you'll find articles including:

• Heritage Awards $50K in First Round of Predictive Modeling Competition
• GNS Healthcare, Brigham & Women’s Collaborate to Predict Adverse Drug Events and Hospital Readmissions
• Vendors Offer 360o Insights for Better-Targeted Modeling
• Researchers Use Predictive Models to Pinpoint the Best Candidates for Surgical Procedures
• Thought Leader’s Corner: “What role can predictive modeling play in the management of bundled provider payments?”
• Industry News with briefs regarding OptumHealth, Qforma, National Predictive Modeling Summit, IBM, HealthDialog, and University of Massachusetts Medical School
• Catching Up With… Ajay S. Behl PhD

Predictive Modeling News is the 12 page monthly newsletter for health care professionals interested in Predictive Modeling. If you're not already a subscriber, you can get a subscription to Predictive Modeling News for $39 per month or $468 annually. You may cancel at any time, and receive a refund for remaining issues with annual subscriptions. You can get detailed information, and subscribe at www.PredictiveModelingNews.com or call 209.577.4888.