|
Product Description
Healthcare Risk Adjustment and Predictive Modeling, 2nd edition, provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models.
The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare Advantage, ACA Exchanges, ACOs disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to test datasets.
"Across the developed world, there is a growing trend for health systems to focus on the Triple Aim of improving quality, improving patients' experience of care, while reducing per capita costs. One approach to achieving the Triple Aim is to predict and prevent so-called Triple Fail events (i.e., events that are simultaneously low quality, high cost, and represent a poor patient experience). Now in its second edition, this book is rapidly becoming required reading for all those who are interested in adopting this approach to the Triple Aim."
- Dr. Geraint Lewis, FRCP, FFPH, Chief Data Office NHS England
"All in all, this is the work of a superbly mathematical yet practical mind. Ian Duncan's work is a brilliant exposition of analytical techniques, coupled with a masterful explanation of how to apply health risk analysis in a series of relevant, real world case studies."
- Regina E. Herzlinger, Nancy R. McPherson Professor Business Administration, Harvard Business School
Customers Who Bought This Item Also Bought
- Risk Adjustment for Measuring Health Care Outcomes, Fourth Edition (AUPHA/HAP Book)
- Managing and Evaluating Healthcare Intervention Programs, 2nd Edition
- Financial Enterprise Risk Management (International Series on Actuarial Science)
- Individual Health Insurance, 2nd Edition
- Group Insurance
- Essentials of Managed Health Care (Essentials of Managed Care)
- Population Health Informatics: Driving Evidence-Based Solutions Into Practice
- Biomedical Informatics: Computer Applications in Health Care and Biomedicine (Health Informatics)
- Health Economics and Financing
- Regression Modeling with Actuarial and Financial Applications (International Series on Actuarial Science)
*If this is not the "Healthcare Risk Adjustment & Predictive Modeling" product you were looking for, you can check the other results by clicking this link. Details were last updated on Nov 19, 2024 00:50 +08.