Predictive modeling is critical in being able to identify the rising-risk members for proactive and preventive care for Medicare and Medicaid plans taking on more risk in the form of capitated payments. L.E.K. Consulting projects Medicare Advantage enrollment rising from
In our prior blog Top 3 Challenges to Adoption of Predictive Analytics Projects in Value-based Care we debunked the myth that the best predictive models should have hundreds of input variables. Instead, a predictive model should utilize a few key
The goal for any population health program should be to keep members healthy and prevent the onset and advancement of disease. Historically, population health programs have been disjointed because payers, providers, employers and communities execute isolated efforts with no collaboration
When the calendar flipped to 2017, it heralded a year that will be radically different from the one it preceded. One industry that will certainly experience some upheaval is healthcare. In fact, those changes began day one as the MACRA
The healthcare industry is successfully transitioning to value-based care, even while the fate of the Affordable Care Act (ACA) remains unclear. This is according to a recent McKesson study that shows both payers and providers making profits from value-based care.
As is widely reported in the news, the healthcare industry is in the middle of a massive transformation. Due in large part to the Affordable Care Act (ACA), the industry is shifting from traditional fee-based care (where providers are compensated