Society of Actuaries Launches New Health Claim Predictive Modeling Software Study

Schaumburg, Ill. - Expanding on its seminal 2002 study report, "A Comparative Analysis of Claims-based Methods of Health Risk Assessment for Commercial Populations," the Society of Actuaries (SOA) has appointed Milliman USA to produce an updated version of the study.The 2002 report, which evaluated the state of the art in predictive modeling software for health care claims at that time, provided an unbiased forum for comparing the technology and methodologies then available in the market. With the passage of three years and the continuous refinement of these methodologies and software, the SOA strongly felt a fresh look at the tools would provide immediate practical benefits to the health care community.

According to Ross Winkelman, consulting actuary with the Denver office of Milliman and lead researcher for the new study, "The time is ripe for a re- evaluation of the models and software that are being used in the health care marketplace. With advances in technology and greater health information available, these tools continue to push the envelope for health claim prediction." Milliman USA is in the process of acquiring currently available health predictive modeling software. The study is expected to be completed in Fall 2006.

The 2002 report can be found on the SOA Web site at http://www.soa.org/ccm/content/?categoryID=327001.

Source: The Society of Actuaries

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