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ACTEX Learning Presents: ACTEX eLearning Webinar: Introduction to Healthcare Risk Adjustment
The second edition of Ian Duncan’s book on Healthcare Risk Adjustment and Predictive Modeling was recently published by ACTEX Learning in May 2018 and covers the theory and practice of two different areas of health actuarial practice. This Webinar covers the basics of risk adjustment. In recent years, risk adjustment has become a fundamental component of healthcare reimbursement. In this Webinar, we will cover the principles of risk adjustment model construction and their use in financial reimbursement. Topics covered will include some of the available models, their advantages and disadvantages, as well as other applications in provider reimbursement, quality measurement and outcomes research.
Learning Objectives:
- Define risk adjustment and review how to apply it in daily practice
- Recognize the principles of construction of a risk adjustment model
- Learn how risk adjustment can be applied to equalize payments between health plans
- Review available risk adjustment models and better understand the unique applications, advantages and disadvantages of these models
- Identify how to apply these models in provider reimbursement
- Gain a working knowledge of applications for quality measurement and outcomes research
Who Should Attend This Webinar?
Actuaries and medical or healthcare professionals interested in the applications of risk adjustment in health care, health insurance and quality measurement.
About Your Instructor
Ian Duncan, FSA, FIA, FCIA, FCA, CSPA, MAAA
Ian Duncan is an Adjunct Associate Professor of Actuarial Statistics in the Dept. of Statistics & Applied Probability at the University of California, Santa Barbara and President of Santa Barbara Actuaries Inc. He has over 30 years of experience in healthcare and insurance product design, management, financing, pricing and delivery, and has founded two previous companies to perform predictive modeling and outcomes analysis for healthcare. He is a frequent speaker about health outcomes, predictive modeling and risk adjustment. Mr. Duncan holds a post-graduate degree in economics from Balliol College, Oxford and is a Fellow of the Society of Actuaries, the Institute of Actuaries (London), the Canadian Institute of Actuaries and the Conference of Consulting Actuaries.