Data warehousing and mining, including bringing together different healthcare lines of coverage (i.e., medical, dental, prescription drug, etc.), are primary tools in business today. The speakers discuss:

• Methods to assign risk scores to specific populations;
• Methods of data mining and predictive modeling to identify, among other things, cost drivers, fraud and abuse from both participants and providers, areas of noncompliance of treatment protocols, stratification techniques and predictive modeling techniques; and
• How through data mining baselines can be established to help evaluate ROI from different wellness initiatives.

Speakers