| Predictive modeling's applications in health care have multiplied. Now predictive modeling can actually direct care management initiatives and clinical interventions. Most importantly, by connecting risk with cost, predictive models can impact healthcare revenues by controlling preventable costs, such as the costs of fraud.
The Predictive Modeling Congress brings together both the medical management and actuarial/underwriting sides of Predictive Modeling. It merges the clinical and mathematical applications of predictive modeling. On the clinical end, predictive models can assess risk, stratify member populations according to risk, and guide interventions and care management strategies. On the statistics side, predictive models can use data available from care providers and patients to more accurately assess risk and forecast outcomes. For healthplans, predictive models can provide more comprehensive information about the members they serve. This conference is the first event of 2011 to address predictive modeling's newest applications after the implementation of healthcare reform.
Proposed Sessions
| Medical Management |
Actuarial/Underwriting |
- Optimizing Use of A Predictive Modeling Or Case Management Identification And Stratifying Solution
- Define And Select Beneficiaries Who Would Most Benefit From A Care Management Program To Prevent Adverse Outcomes
- Coordinating Care Management In The Patient-Centered Medical Home To Better Serve Member Populations
- Specify Your Predictive Model To Fit Your Healthplan's Forward Strategy
- Comparative Practice Management: Using E&M Codes And Preventative Service Codes To Improve Quality Ratings
- Leveraging The Results Of Risk Adjustment To Plan Services And Schedule Payments To Providers
- Translate Collected Data Into Actionable Programs With Positive Results
- Case Study From A Healthplan: How We Integrated Communication Between Actuaries And Medical Management
- Partnering With Providers To Improve Healthcare Delivery In The New ACO Model
- Targeting The Most Useful Metrics To Evaluate and Improve Care Management
- Understand The Techniques And Benefits Of Calculating Diagnosis Scores
- Using Predictive Analysis In Healthplan Sales & Marketing To Lower Maintenance Costs
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- WORKSHOP: Collaborate With A Health Actuary To Navigate Your Reform Plan
- WORKSHOP: Target Outcomes Instead Of Costs To Drive Long-Term Profitability
- WORKSHOP: Useful Techniques In Statistics To Impact Medical Management
- Integrating Non-Administrative Claims Data In Predictive Analysis To Improve Accuracy
- Predicting Costs To Set Prices For Services In The Patient-Centered Medical Home Model
- Predicting Causal Relationships In High-Risk Populations To Reduce Readmissions, Improve Wellness, and Reduce the Cost of Care
- Using Consumer Data To Support Evidence-Based Expense Management
- Applying Predictive Modeling Techniques To Database Marketing To Increase Profits To Health Plans
- Applying Healthcare Analytics to Improve Communications, Population Management, & Retention Rate
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Predictive Modeling Innovation:
- Innovation Panel Discussion: Selecting A Predictive Modeling Software Vendor
- Refining Predictive Models By Sharing Data Across The Healthcare Continuum
- Understanding Meaningful Use Reporting Requirements To Maximize Incentives To Providers
- Optimizing EMR Data To Structure Interventions And Maximize Stimulus Payments
Claims Fraud Topics:
- WORKSHOP: Understanding Innovations In Fraud Detection Tools and New Methods For Attacking Fraud
- Optimizing The Use of Collected Data To Reduce The Cost of Fraud
- Employing Data Mining Techniques To Forecast And Prevent Fraud
Panel Discussions:
- Ask An Industry Leader: Risks & Rewards For Healthplans When Changing Care Management Strategies
- How To Use Predictive Models To Respond Changes in Healthcare Policy
Share Your Case Study
We are actively recruiting speakers to bring the 2010 conference to life! If you have an innovative example of a success story or a case study of a way your organization has reduced the occurrence of fraud, controlled preventable costs, or found new and innovative applications of predictive modeling please let us know. For consideration for this event, please prepare your proposal and contact Alexander Levin at 646-723-8048 or alex@worldrg.com.
The Networking
In this critical time for utilities, face-to-face conversation offers an unmatched opportunity to learn from your peers' successes and challenges. We recognize the importance of capturing new ideas, strategies and connections and have designed networking breaks, practitioner-led interactive sessions and on-site activities throughout the National Predictive Modeling Congress for Health Plans to facilitate this exchange. We are serious about ensuring that your time at this conference is well spent!
For more information or to register, please contact the World Research Group toll free by phone at (800) 647-7600 or via e-mail at info@worldrg.com.
For more information or to register, please contact the World Research Group toll free by phone at (800) 647-7600 or via e-mail at info@worldrg.com.
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