Healthcare Predictive Modeling

We develop and operate predictive models built for specific medical interventions. Here is a list of some of the current predictive models we have in operation:

  • Risk of overmedicalized death
  • High Cost Conditions
  • Chronic Disease Stratification
  • Consumer Choice
  • Readmission Risk
  • Surgery Risk

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Outcomes Analysis (ROI/Trend Mitigation)

Our founder literally wrote the book on healthcare financial outcomes assessment and is considered by many to be the leading subject matter expert on the topic. Here are a few specific services we provide within this area:

  • Actuarial Risk Adjustment
  • Shared Savings Agreements
  • Economic Modeling
  • Medical Loss Ratios
  • Opportunity Analysis
  • Financial assessment of value propositions

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General Actuarial Support and Services

We also provide traditional actuarial healthcare services including:

  • Health Plan Rate Setting
  • IBNR Calculations
  • Outcomes Reporting
  • Actuarial Cost Assessment of Plan Design Changes
  • RFP Assistance 
  • Expert Witness
  • Statistical Support and Analysis Including Publications (academic and professional)

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Santa Barbara Actuaries offers a wide variety of actuarial and healthcare consulting services. The list covers just a few examples of our services. For more specific details, please contact us directly.