https://insidebigdata.com/tag/risk-scoring/ Your Source for AI, Data Science, Deep Learning & Machine Learning Strategies Wed, 19 Oct 2022 16:11:05 +0000 en-US hourly 1 https://wordpress.org/?v=6.3.2 136462205 https://insidebigdata.com/white-paper/risk-scoring-big-data-and-data-analytics/ https://insidebigdata.com/white-paper/risk-scoring-big-data-and-data-analytics/#respond Thu, 01 Sep 2016 15:37:21 +0000 http://insidebigdata.com/?post_type=wpdmpro&p=15372 Many healthcare organizations currently utilize a Risk Scoring program as part of doing business. Health insurance companies, for example, calculate one Risk Score for each member to reserve for risk-adjusted payments to Medicare Advantage and Health Insurance Exchange plans. While the calculation of one Risk Score per member is effective for the distribution of risk-adjusted payments, it lacks insight into a member’s medical needs. The current methodology fails to provide a complete picture of members’ health and serves as more of a reactive than preventative tool.]]> 0 15372