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Widespread initiatives to restructure provider payment and delivery
systems, through accountable care arrangements, bundled payments, value
based purchasing and related programs, all require provider
organizations and health plans to better understand and apply risk
adjustment models to their applicable populations.
Proactive preventable readmissions initiatives require provider
organizations and health plans to predict and identify specific patients
from their populations that are at high risk of readmission, and manage
a program that applies intervention steps on their behalf.
Whether an organization is pursuing readmissions, accountable care,
value based purchasing or numerous other key initiatives involve
benchmarking and or identification of specific members of an applicable
population at risk for for a condition or behavior, optimal Data Mining
becomes a critical initial part of the process for health plans and
provider organizations to achieve success in their program. The
Fifth Annual Predictive Modeling Web Summit
features a 90 minute webinar with national experts from actuarial,
hospital system and health plan perspectives that tackle the topics of
risk adjustment, predicting readmissions, data mining and more.
The event also includes three downloadable pre-recorded sessions,
with expert faculty addressing predictive analytics applied to member
compliance and enrollment patterns; Medicaid dual eligible and
dual diagnoses populations; and application of big data and prepayment
analytics to address the key challenges of state health care program
payment models with respect to fraud, waste and Abuse and related
issues.
Position your organization for 2012 and beyond in the healthcare
predictive analytic landscape. Join us for the Fifth Annual
Predictive Modeling Web Summit on Thursday June 14th 2012, and
participate in the live national webinar, additional downloadable
pre-recorded faculty sessions, predictive modeling e-poll and more, featuring national experts providing key
insights, trends, strategic recommendations, actionable intelligence
and more on these critical topics. |
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Thursday, June 14th,
2012
1:00 p.m. to 2:30 p.m. Eastern (10:00 a.m. -
11:30 a.m. Pacific)
Click here
to find out what time your event starts in your time zone.
- 1:00 pm - 1:30 pm
Risk Adjustment and the Power of Four - Ksenia
Draaghtel, ASA, MAAA, Associate Actuary, Milliman
- 1:30 pm - 2:00
pm Predicting Risk of Readmissions for Targeting
Patient Intervention -
Jill Kalman, M.D., Director, Cardiomyopathy Program,
Associate Professor of Medicine, Cardiovascular Institute, Mount
Sinai Medical Center; and Maria Basso Lipani, LCSW. Coordinator,
PACT (Preventable Admissions Care Team), Mount Sinai
Medical Center
- 2:00 pm - 2:30 pm
Data Mining Strategies for Risk Stratification and Adjustment--
Sheila Owens Collins, MD, Vice President, Senior Medical
Director, Community First Health Plan
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Pre-Recorded Presentations in Windows Media Video format with
audio and synchronized slide advancement:
- Predictive Analytics to Understand Compliance and
Enrollment Patterns, by Rong Yi, PhD, Director, Risk
Adjustment and Predictive Modeling Practice; Senior Consultant,
Milliman
- Managing Medicaid Patients
with Physical and Behavioral Health Dual Diagnoses through
Advanced Analytics, by Kip Piper, MA, FACHE, Senior
Consultant, Sellers Dorsey
- Shifting the Cost Paradigm with Big Data and Prepayment
Analytics, by Kathy Mosbaugh, Director of State Government
Health Care, LexisNexis
- Plus other Web
Summit features including a Predictive Modeling Article Library, an exclusive
Predictive Modeling e-poll, and a three month trial subscription
to Predictive Modeling News
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Participants will be able to:
- Gain an overall sense of
applicable risk adjustment issues, methodologies and models
relevant to emerging provider payment and delivery system
structures and key populations.
- Consider the parameters, process and approach taken by a
health care system in proactively predicting patients as-risk
for readmission and their program of targeted intervention for
these patients
- Ascertain data mining strategies to improve the accuracy of an
organization's risk models, and the resulting techniques that
can be used in risk adjustment analysis; and the issues
surrounding the secondary use of health data and how to use it
appropriately to gain insight to effectively manage a population
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Explore predictive analytics topics including member compliance
and enrollment patterns; management of dual eligible and dual
diagnoses Medicaid patients; and application of big data and
prepayment analytics
- Obtain relevant case experience and marketplace intelligence
offered by the faculty, and insights offered from actuarial, health care
system, health plan and related perspectives.
- Experience e-learning at the attendees'
convenience, with downloadable pre-recorded sessions, article library, and other online Summit features available
24/7.
- Engage in interactive learning through live webinar providing
online question submission, attendee surveys, feedback and opportunity for
follow up questions, and networking with attendees, faculty and other
professionals through dedicated LinkedIn group.
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Interested attendees would include:
- C-Suite Executives
- Analytics and Informatics Executives and Staff
- Actuarial and Underwriting Executives and Staff
- Statisticians and Data Analysts
- Planning and Strategic
Executives and Staff
- Medical Directors
- Clinical Executives
- Care Management Executives
- Health Benefit Managers
- Business and Market
Intelligence Staff
- Health Care Economists
- Other Interested Parties
Attendees would represent
organizations including
- Health Plans
- Hospital Systems
- Provider Networks
- Medical Groups
- Care Management Organizations
- Government
- PBMs
- Third Party Administrators
- Employers
- Pharmaceutical Organizations
- Consulting Organizations
- Business Processing
Organizations
- Solutions Providers
- Associations, Institutes and
Research Organizations
- Media
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Individual Registration Fee: $295.
Audio Conference CD-ROM: $40 for attendees; $335 for
non-attendees after the event.
Registration includes a three month trial subscription to
Predictive Modeling News for no additional cost. |
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