Welcome to the only conference that brings the complete predictive modeling picture together, from underwriting/actuarial to medical management.

The Predictive Modeling Congress has 2 tracks; one track is geared toward medical management and the other toward the underwriting/actuarial side. Other case studies address the hottest issues including healthcare reform, fraud detection, medical home, using diverse data sources, calculating ROI for predictive models, and much more!

Topics Include but Are Not Limited To:

Predictive Modeling and Healthcare Reform: Challenges and Opportunities
Using PM for Fraud Detection
Health Care Fraud and Advanced Fraud Detection Analytics
New Applications and Innovative Uses for Predictive Modeling
The Next Generation of Predictive Modeling and Plan-Provider Integration
Retain and Engage Your Most Valuable Members
Setting-Up Predictive Modeling Software and Training for Its Optimal Use in Analytics
Marrying the Clinical and Financial Aspects of Predictive Modeling
Medical Management Track:

Intervention Models to Optimize Net Savings Models
Modeling Acute Inpatient Readmissions
Use of Episode Treatment Groups (ETG) and Episode Risk Groups (ERG) for Case
Results on the Effectiveness in Using Predictive Modeling to Evaluate Disease Management Programs
Underwriting/Actuarial Track:

Using Data Mining to Detect Fraud
Practical Uses and Aspects in Predictive Modeling for Pricing and Forecast
Using Consumer Health Predictive Modeling to Forecast Member Health & Wellness
Challenges & Opportunities in Transitioning to a New Predictive Modeling Tool