Analytics for Health Plan and Provider-Based Care Management

Hear real-world examples explaining frameworks, including 5 types of analyses: Prospective models used to compare alternative care management components to support design process and investment decisions Analysis of care management activity to evaluate productivity, quality and quantity of care management services delivered Calculated actual outcomes using actual activity but modeled effectiveness to track and project costs and savings Outcomes monitoring using claims data to concurrently track indicators to determine if program is having intended effect Rigorous program evaluation to establish program effectiveness Explain key data exchange and analytic approach to support the tight integration of health plan and physician-office based care management

Richard E. Ward, MD, MBA Vice President, Clinical Programs and Medical Informatics Blue Cross Blue Shield of Michigan

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In utilizing predictive modeling, health plans have the opportunity to deliver preventive focused care, allowing for large reductions in costs and increased health of their members.

The World Congress Leadership Summit on Predictive Analytics is a must attend for those health plans looking for the most current insights, innovations and solutions available in the predictive analytics field. With industry wide shifts based on reform, developments in tools and technologies, extended applications in new functions and settings and advancements in data repositories, this summit will provide the most comprehensive strategy and direction for how your health plan can effectively prepare and plan for the future using predictive models.