Ian duncan fsa fia fcia fca cspa maaa healthcare risk adjustment and predictive modeling second edition learn today lead tomorrow act ex learning. Predictive modeling is about risk risk f loss amount probability of occurrence o predictive modeling is about searching for high probability occurrences o the fact that member costs are predictable makes predictive modeling possible in the next 2 slides we shall see examples of member costs over time. Needs addressed by risk adjustment and predictive models dxcgs medicaid models build performance application examples new research activities promoting fair and efficient health care risk adjustment and predictive models can help with addressing important issues in medicaid risk adjustment and predictive modeling for medicaid. This text is listed on the course of reading for soa fellowship study in the group health specialty track healthcare risk adjustment and predictive modeling 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 . Healthcare risk adjustment and predictive modeling is full of interesting statistics like these but this book contains much more than that as healthcare payers increasingly require providers to accept pay for performance or bun dled payments for episodes of care disease or disability focused bundles or even global
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