predictive analytics




Less Than Half of Managed Care Organizations Have Access to EMR Data

Precision Advisors, a Precision for Medicine Company, announced the findings from its 2015 Digital Trends Study of 145 managed care executives. The study concludes that decision makers are aware of the concepts of big data and predictive analytics, but are not equipped to fully implement them.



Predictive Modeling Can Detect Meaningful Correlations across Claims Denials Data

By Paul Bradley – The reasons claims are denied are so varied that managing denials can feel like chasing a thousand different tails. This situation is not surprising given that a hypothetical denial rate of just 5 percent translates to tens of thousands of denied claims per year for large hospitals—where real-world denial rates often range from 12 to 22 percent.