Advanced Plan for Health Logo
 

Search Results

There are 21 item(s) tagged with the keyword "predictive modeling".

Displaying: 1 - 10 of 21

Keys to Truly Impactful and Measurable Employer Health & Wellness Programs

With medical costs rising, pharmaceutical costs quickly meeting or exceeding medical costs and miraculous specialty drugs coming in at nosebleed costs, optimizing employee health and saving for catastrophic events is paramount to afford expensive lifesaving medicines and treatments, along with inevitable catastrophic cases that plague nearly every employer’s health plan.

Tags: Health Plan, Healthcare Costs, Wellness Program, Pharmaceutical Costs, Medical Costs, Brokers, TPAs, Health Insurers, Chronic Conditions, Benefit Design, Care Gaps, Population Health, Predictive Analytics, predictive modeling
Feature Engineering in Healthcare Analytics

Jason Rudy, Data Scientist / Programmer and Matt Lewis, Programmer / Product Manager

In a previous blog post, we walked through the process of building a predictive model using healthcare data. One of the things we touched on briefly there, was how important proper feature engineering can be to creating a useful representation of the underlying data, and how the choices made around shaping data into features can change the nature and performance of the resulting model. 

In this post, we’ll be going deeper into the process of feature engineering, and how to convert raw data inputs into a form that will make machine learning not only possible, but effective. 

Tags: Feature Engineering, Data Analytics, Machine Learning, Predictive Modeling, Healthcare, Longitudinal Data, HEDIS, Phenotype
Targeting Doctor Shopping, Prescription Abuse With Analytics: Population Health Lessons from the Front Lines

In recent years insurers and brokers have had to adapt to rising healthcare costs without much say in the matter. This is in part because brokers and employee benefit managers often have too much on their plates to sleuth out and address the costliest “blind spots” in health coverage. This has left many struggling to find a way to remain competitive in an increasingly technology-driven industry.

Tags: Doctor Shopping, Prescription Abuse, Population Health, Healthcare, Data, Data Analysis, Health Insurers, Benefits Design, Population Health Management, Member Population, PHM, Health Events, Cut Costs, Health Events, Prevention, Brokers, Employee Benefit Managers, Health Insurance Brokers, Predictive Analytics, Actionable Insight, Health Plan, Health Plan Member, Doctors, Duplicate Therapy, Poindexter, Predictive Modeling, Healthcare Costs, Self-Insured, Employer, Pharmacy, Rx, Data Analytics, RFP, Network, Data Reports, Lab Costs, Technology, Chronic Pain, High Cost Claimants, Addiction, Opioid, Cost Centers, Behavior, Behavioral Analytics, Phenotyping
Competitive Advantages That Every Health Insurance Broker Should Know

The webinar included Business Insurance, Advanced Plan for Health, Turner Industries and BancorpSouth Insurance Services, Inc. and offered insights on how to leverage advanced analytics throughout the year at various points in the annual sales and service cycle. It also outlined real-world case studies of health data analytics in practice, resulting ROI and the many benefits analytics has on health plan performance and the competitive advantages it can provide brokers looking to set themselves apart from the crowd.

Tags: Webinar, Business Insurance, Health Plan, Advanced Plan for Health, APH, Population Health Management, Predictive Analytics, Health Insurance Broker, Health Insurance, Predictive Analytics, Health Data, Interoperability, Business Tool, Predict Risk, Predictive Modeling, Healthcare Costs, Self-Funded, Stop-Loss, Self-Insurance, Gaps in Care, Gaps in Care
Three of the Costliest Health Conditions Ravaging Your Health Plan, and Steps for Prevention

High-cost claimants are only a part of the equation. There is a secondary subset of the insured population who are at-risk of entering the 5-7% of highest cost claimants that predictive modeling can uncover and help address. Not all predictive modeling engines have the capability to identify this subset of the employee population, but with Advanced Plan for Health’s Poindexter’s predictive modeling capabilities, determining the likelihood of an occurrence of coronary events, neurological events, orthopedic events and chronic kidney disease is made easy. Once interventions are made to improve the health of at-risk patients, the analytics system can retrospectively report actual cost versus the original predictive model to measure the positive health and financial effects the interventions created. Without the predictive-modelling enabled ability to identify those at-risk and intervene with targeted prevention strategies, health plan optimization will always be an uphill battle. 

Tags: Population Health, Health Plan, Chronic Conditions, Plan Costs, Employee Population, High-Cost Claimants, Diseases, Diabetes, Cardiovascular Disease, Pulmonary Heart Disease, Primary Care Physician, Healthcare, Wellness Managers, Health Outcomes, Wellness Program, Predictive Modeling, Data Analytics, Case Managers, Care Managers, Improve Outcomes, Lower Costs, Poindexter, Analytic Engine, Bottom-Line, Treatment Plan
20 Daily Minutes of Stress-Free Recreation in the Workforce and What It Could Mean to Employers

In the above quote, TV powerhouse Oprah Winfrey, is discussing the positive effects of one type of wellness activity that has shown promise in the workplace: meditation and how it can promote a healthier, and compliant employee population.

Tags: Oprah Winfrey, Self-Insured, Employers, Wellness Program, Employee Health, Care Coordination, Member Compliance, Case Management, Predictive Modeling, Data Analysis, Health Intelligence, Population Health, Health Plan, Meditation, Reduced Stress, Reduced Anxiety, Reduced Depression, Reduced High Blood Pressure, Smoking Cessation, Heart Disease, Healthcare Costs
Wellness: Better Data, Better Buy-in, Better Savings

Population health has many definitions which are often pigeonholed to fit a specific market or agenda. Its end goal, however, is unequivocal: to manage the health of a given patient population to improve outcomes and keep costs in check. And without recent advancements in health technology, data aggregation and data analysis, case managers, data scientists and benefits managers alike would not have the tools and actionable intelligence necessary to make lasting improvements to the populations they manage. Wellness programs would not improve a health plan or reduce costs as effectively if case managers were missing crucial data sets of the population. 

Tags: Healthcare, Predictive Modeling, Population Health, Outcomes, Health Technology, Data Analysis, Case Managers, Data Scientist, Benefits Managers, Actionable Intelligence, Wellness Program, Health Plan, Reduce Costs, Wearables, Fitbit, Bragi, Wireless Headphones, Health Compliance, Health-Contingent, Outcomes-Based, Activity-Only
Advanced Plan for Health Upgrades Next-Generation Predictive Analytics On Poindexter Population Health Management Platform

Poindexter’s newest release pushes the boundaries of predictive modeling by determining the likelihood of an occurrence of coronary events, neurological events, orthopedic events and chronic kidney disease. In addition, Poindexter now has the ability to predict hospital length of stay and general likelihood of an ER visit for any member of a patient population.  

Third-party Administrators (TPAs) and brokers can leverage Poindexter’s new functionality to better identify at-risk individuals in their customers’ insured population. Employers with self-funded health plans can directly benefit, too.

Tags: Predictive Modeling, Population Health Management, Self-Insured, Employers, Health, Data Science, Actionable Data, Coronary Events, Neurological Events, Third Party Administrators, TPA, Health Insurance Brokers
Data: Your Secret Weapon

So, where are your hidden health-related cost centers? The same places they’ve always been: In plain sight. But for the lack of data transparency and integration of data tools and services, they remain elusive to spot. To uncover these cost centers, consider partnering with an analytics firm that not only can access data sets from everywhere patients access healthcare, but also combine them to create nuanced action lists.

Tags: Data, Analytics, Population Health Management, Metabolic Syndrome, Chronic Condition, Intervention, Hospitalization, High Level, Trend Analysis, Individual Metrics, Healthcare Cost Curve, Health-Related, Cost Centers, Access, Transparency, Patients, Healthcare, Action, Medications, Employees, Non-formulated, Specialty Drug, Cost Saving, PCP, Primary Care Physician, Behavior, Pharmacy, Specialists, Network, Employee, Chronic Care, Reduce Cost, Preventable, Emergency, Inpatient, ER, Urgent Care, Copay, Health Plan, Bottom Line, Utilization, Predict, Consult, Drill Down, Follow Up, Biometric, Outliers, High Risk, Wellness Program, Medicine, Case Manager, Patient Population, Poindexter, Advanced Plan for Health, Predictive Modeling
Nurse Care Navigators' Value to the Self-Insured Health Plan

To nurse care navigators, care management is exactly that – managing people with care. 

Mentoring clinicians and health plan professionals in learning how to guide and support people, wherever they are on the healthcare continuum, is my opportunity to pass on the secrets of population health management that so many wonderful professionals have shared with me.

Making a difference in people's health, while optimizing resources so that people and health plans get the desired results, is my idea of success.   

Tags: Advanced Plan for Health, Nurse Care Navigator, Self-Funded, Employers, Health Plan, Management, Action Items, Care Management, Health, Medical Management, Population Health Management, Healthcare, Spend, Bottom Line, Clinicians, Outcomes, Data, Poindexter, Predictive Modeling, Drill-Down, Opportunities, Individual Health Status, High Risk, Chronic Health Conditions, Health System

Displaying: 1 - 10 of 21