New: Healthcare Risk Adjustment & Predictive Modeling, 2nd Edition

[ACTEX_Pubs]

Healthcare Risk Adjustment & Predictive Modeling, 2nd Edition NEW
Author: Ian Duncan, FSA FIA FCIA FCA CSPA MAAA
Availability: Pre-Order

Print Edition Available 5/22

eBook Available Now

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Healthcare Risk Adjustment and Predictive Modeling, 2nd edition, provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models.

The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare Advantage, ACA Exchanges, ACOs disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to test datasets. Learn more.

[Ron Swanson]

What's new since the first edition?

[ACTEX_Pubs]

Thanks for the question. Changes and additional topics covered in the second edition of this text include:

• Expanded treatment of grouper models and predictive models for care management
• New chapters on: Predicting Hospital Readmissions, Risk Adjustment on the ACA Exchange, ACOs, Communicating Results, and a Statistical Appendix
• An additional section on risk adjustment in Colombia
• Sample R code to go along with examples and models
• Access to 3 new datasets for readers to put techniques into practice
• General updates

[Ron Swanson]

Is the R code available electronically somewhere?

I bought the book and the downloads key that is included only has the data sets.

[Ron Swanson]

Ok I found the code link here

https://www.actexmadriver.com/produc...textbooks.aspx

But it’s protected via a password that appears to be different from that used on the actex website and different from that used on the site housing the data sets.

[ACTEX_Pubs]

Thanks for bringing this to my attention. I will look into this and post a reply.

[ACTEX_Pubs]

The supplements to the new 2nd edition book located here are no longer password protected.

[juandeoyar]

Hi,

I'd like to buy this book, but is it worth it to buy the 2nd edition? The price difference between them is really high. I am just entering the world of health insurance and I am a student.
Thank you.

EDIT: Already bought the first. I don't know how to delete the comment, lol.

[Stephen Camilli]

Sorry for the delay in replying to this. A lot depends upon what you will be using it for. However, I would advise buying the second edition. It includes all of the additional information highlighted above, expanded data sets, and is the current edition being used by the Group & Health specialty exam for the foreseeable future. If you just want to get a basic introduction to the topic, the first edition would be serviceable, but parts of it will be outdated.