Complimentary from the publisher

Complimentary from the publishers of Predictive Modeling News November 1, 2012

Complimentary Whitepaper: Top Payer Strategies for Fraud and Abuse Prevention

"The use of genetic risk scores in predictive models is increasingly becoming a reality. The rapidly advancing field of personalized medicine uses genetic risk scores and predictive modeling to assess a patient’s risk of developing a disease or condition. This result is then used to inform the best treatment decisions for the patient, given unique genetic, clinical and environmental factors. This technology moves healthcare towards a predictive, proactive approach, where patients know their risk for developing a condition, and can then make the best medical and lifestyle decisions given that information.” Swati Abbott, Chief Executive Officer, Blue Health Intelligence

WellPoint Uses Predictive Modeling To Identify Potential Gaps in Care

WellPoint, Inc. announced it has won Gold Honors from URAC for its Medicare Advantage Stars Outbound Call program offered through its affiliated Medicare Advantage health plans, which helps health plan members improve their health by getting the quality care they need at the right time and in the right setting.

WellPoint received the honor for conducting a rigorous evaluation of its Medicare Advantage Stars Outbound Call program that uses sophisticated predictive modeling to identify potential gaps in care and then, through its Case Management operational center, actively works to close those gaps.

The study found that by proactively calling Medicare Advantage health plan members to help them schedule appointments with their doctors, or take their prescribed medications as directed, the program had a positive effect on consumer behavior and health outcomes. In just the first two months of the year-long program, those included in the study were 20 to 42 percent more likely to close gaps in care associated with five of nine evidence-based clinical measures, than were those who were not contacted for the study.

WellPoint, Inc.

7 Steps to an Analytical Culture
Health Data Management, October 25, 2012

IBM Applications Use Analytics to Bolster Patient Care, Fight Fraud
eWeek, October 24, 2012

Trouble Brewing for Medicare's Predictive Modeling Program
Bloomberg BNA, October 16, 2012

It's Not Data Mining, It's Predictive Modeling
ADVANCE for Health Information Professionals, October 2, 2012

UPMC Partners with Oracle, IBM, and Others on $100M Data Warehouse Effort
GenomeWeb Daily News, October 1, 2012

UPMC Fosters ‘Personalized Medicine’ with $100 Million Investment in Sophisticated Data Warehouse and Analytics

Dovetail Health Prevents Re-Admissions in High-Risk Patients Using CareAnalyzer from DST Health Solutions

Automating Clinical Trial Enrollment

Medalogix Readmission Reduction Tool Recognized by HIMSS

Thought Leader’s Corner: “How widespread today is the use of genetic risk scores in developing predictive models, and what is the potential of such applications? What are the challenges?”

Industry News with briefs regarding the National Predictive Modeling Summit; CGI Group and River Logic; and Novarica

Catching Up With…. Ognian K. Asparouhov PhD

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