HealthExecWire

In the last decade, predictive analytics has become an important part of the health care delivery workflow. The ability of this technology to analyze vast amounts of claims data and provide actionable insight leading to improved health care delivery and operational efficiency is proven.

To date however, the promise of predictive analytics to detect fraud in health care has been for the most part unfulfilled. The predictive analytics utilized so successfully in the credit card industry were initially touted as a quick fix that would simply shift directly over and start doing the same thing for health care. The complexity, variability, and "dirty data" involved in health care have prevented that from happening in the way that was hoped for.

The key problem in fraud detection has been far too many false positives. Pulling claims out of the payment work flow, only to find out after manual review that they are payable, causes significant business and compliance problems for both payors and providers.

During this complimentary webinar LexisNexis® Risk Solutions and ViPS, a General Dynamics Information Technology company, will explore a fundamentally new and unique model for incorporating fraud risk control by implementing predictive analytics and social networking analytics at the front end of the business workflow.

Participants will be able to:

Understand the role of predictive analytics in the identification and prevention of health care fraud
Learn how to enhance rules-based workflow tools with advanced modeling technologies
Uncover ways to increase ROI associated with fraud prevention and recovery
Engage in interactive learning through online question submission, attendee feedback and opportunity for follow up questions, and networking with attendees, faculty and other professionals through dedicated LinkedIn group

Interested attendees would include:

C-Suite Executives
Fraud & Abuse Prevention and Recovery Executives and Staff
Finance Executives
Claims Unit Executives and Staff
Analytics and Informatics Executives and Staff
Actuarial and Underwriting Executives and Staff
Statisticians and Data Analysts
Planning and Strategic Executives and Staff
Health Benefit Managers
Business Intelligence Staff
Health Care Economists
Other Interested Parties

Attendees would represent organizations including:

Health Plans
Provider Networks
Hospital Systems
PBMs
Employers
Third Party Administrators
Government
Business Process Organizations
Solutions Providers
Consulting Organizations
Associations, Institutes and Research Organizations
Media

Registration is Complimentary for qualified applicants. Applications will be accepted by the Summit sponsor according to their criteria. Applicants approved for registration will be notified by Summit within approximately seven business days of application or sooner.

Click here to register. We look forward to your participation in this event!

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