Predictive Modeling: Strategies, Trends & Forecasts, a June 16th audio conference on CD-ROM, covers how predictive modeling is being used by health plans to manage care and as an actuarial tool.
Predictive modeling enables healthcare organizations to accurately gauge future patient expenses based on a patient's prior treatments. By examining past patient claims and pharmaceutical information, predictive modeling can project member and group healthcare costs for the next year.
Predictive modeling helps healthcare organizations price more appropriately for risk.
During this 90-minute audio conference on CD-ROM, our speakers address what new trends are emerging in predictive modeling technology and what results health plans are experiencing when using predictive modeling.
Our expert panel includes:
- Howard Brill, Manager of Medical Informatics at Monroe Plan for Medical Care Inc.
- Dr. Stan Hochberg, Medical Director, Provider Service Network
- Marilyn Schlein Kramer, CEO and President, DXCG Inc.
You'll get details on:
- new developments in predictive modeling
- what health plans are actually experiencing when using predictive modeling strategies
- using predictive modeling for care management
- using predictive modeling as an actuarial tool.
Who Will Benefit from this audio-conference?
CFOs, CMOs, risk managers, actuaries, analysts, informatics, medical directors, and executives responsible for utilization management, disease management, case management and quality management from health plans, hospitals, PBMs, disease management companies, predictive modeling companies, large employer groups and physician groups.
About our Panelists:
Howard Brill is the Manager of Medical Informatics and Senior Health Economist at the Monroe Plan for Medical Care, an IPA focused on Medicaid and Public Programs in Western New York. The Medical Informatics Unit at the Monroe Plan develops information systems and supports the evaluation of clinical programs.
Dr. Brill was the Senior Director of Physician Management Systems at HCIA, a major health informatics company, where he was responsible for the development of physician profiling software. He has publications in medical sociology, statistical methodology, labor market studies, and immigration law research. He is a member of the Association of Computing Machinery.
Dr. Brill received his Bachelor of Science degree in Microbiology from Cornell University, Ithaca, New York in 1981. He received his Doctor of Philosophy degree in Sociology from Binghamton University in 1994.
Stanley Hochberg, MD is currently the Medical Director of the Provider Service Network, an organization that provides contracting and medical management support for the Care Group System and Lahey Clinic in Boston Massachusetts. Dr. Hochberg oversees programs in case and disease management, physician profiling, pharmacy management, quality improvement and physician training covering over 2,000 physicians and 300,000 patients.
Prior to joining the Provider Service Network, Dr Hochberg was a Vice President of Product Management at McKesson Corporation where he oversaw the design and implementation of medical management technology systems used nationally by large physician groups and managed care organizations. His technical expertise includes computerized case management systems, physician profiling technology, automated disease management support, quality improvement systems and artificial intelligence approaches to high-risk patient identification.
Dr. Hochberg is a graduate of Brown University with a degree in European History and an Alpha Omega Alpha graduate of the University of Rochester School of Medicine. He is a board-certified family physician with 10 years of practice experience. His current projects include implementation of a longitudinal patient quality registry, a web based anticoagulation management system, specialty physician profiling and enhanced asthma disease management.
Marilyn Schlein Kramer
As DxCG’s President and Chief Executive Officer, Marilyn Schlein Kramer oversees the strategic planning and execution of the company’s mission to promote fair and efficient health care.
Under her leadership, DxCG developed RxGroups, an innovative methodology that uses pharmacy data to predict total medical costs, an RiskSmartTM, a web-based predictive modeling solution designed to meet the needs of both financial managers and clinicians.
Prior to joining DxCG in 1998, Marilyn was Vice President of Planning and Product Management at The Codman Research Group, Inc. and Director of Marketing at GMIS, Inc. Earlier in her career, Marilyn Kramer was an employee benefits consultant at Mercer and a management consultant to hospitals with APM, Inc. She began her career as an administrator at The Mount Sinai Medical Center in New York.
Marilyn has authored articles and is a frequent speaker on risk adjustment. She holds an M.B.A. from the University of Chicago Graduate School of Business and a B.A. in Economics from Harvard University, where she was elected to Phi Beta Kappa.