2011 Priorities for Predictive Analytics Initiatives

Where are we going with predictive analytics? Based on the responses of 80+ attendees of a recent web conference on the topic, here are the top 10 priorities:

1. Identification of High-Risk Patients for Care Management
2. Treatment Guideline Development
3. Plan Design Development
4. Provider Profiling for Network Development
5. Provider Payment Rate and Restructuring
6. Medicare / Medicaid Population Financial Modeling
7. Target Marketing Based on Customer / Prospect Risk Scores
8. Premium Rate Development
9. Fraud Prevention
10. Formulary Development

Notes: Priorities based on survey respondent rankings of items when asked to prioritize how an organization could spend its funds on predictive modeling initiatives involving health benefits. N=81, with respondents including web summit attendees and other health care professionals
Source: Predictive Modeling Web Summit e-Poll 2011
Source URL: http://www.healthwebsummit.com/pm2011.htm

Top 5 Medical Conditions by Healthcare Setting

Here are the five most prevalent medical conditions in 2008, reported by healthcare setting:

Office-Based

Hypertension (8.5%)

Mental Disorders (6.8%)

Trauma (6.7%)

COPD, Asthma (6.5%)

Cancer (6.1%)

Hospital Outpatient Department

Mental Disorders (14.7%)

Cancer (13.2%)

Trauma (7.7%)

Kidney Disease (4.5%)

Other Heart Conditions (4.3%)

Hospital Emergency Department

Trauma (27.2%)

COPD, Asthma (7.5%)

Other Heart Conditions (5.2%)

Acute Bronchitis & URI (3.5%)

Intestinal Infection (3.2%)

Surprised?

Data Source: Center for Financing, Access, and Cost Trends, AHRQ, Household Component of the Medical Expenditure Panel Survey, 2008.

Publication: AHRQ's Medical Expenditure Panel Survey, Statistical Brief #318. Expenses and Characteristics of Physician Visits in Different Ambulatory Care Settings, 2008. http://www.meps.ahrq.gov/mepsweb/data_files/publications/st318/stat318.pdf