Use predictive modeling to improve case management

Once the exclusive purview of health plans, predictive modeling has made significant strides in bridging the gap among healthcare constituents. Today, predictive modeling can be used by capitated provider organizations not only to analyze costs and PMPM rates, but also to increase the efficiency of care management.

One pernicious problem that drives healthcare costs is the inadequacy of historical data, such as prior cost or inpatient utilization, to accurately forecast members at high risk of future hospitalization.