speaker slides 2016 final (002)
TRANSCRIPT
Big Data: How Do I Capture it & What Do I Do With It?
Mike Del Fierro – JDi DataMichael Fariello – JDi Data
Ingrid O’Keefe - ODG
Big Data
100 hours of video
uploaded to YouTube every
minute.
Every minute: 204 million
emails, 278,000 tweets, 200,000
photos to FB.
90% of all data was
created in past 2 years.
2 days =
as much data created from beginning of
time until 2003.
Who Uses Big Data?
How Do Risk Managers Get Big Data?
API (Application Programming Interface)
How Do Risk Managers Get Big Data?
Reporting Tools
How Do Risk Managers Get Big Data?
• Define Business Needs• Create Dashboards• Data Mining/Analytics• Fraud 1/10• Benchmarking to Flag Claims
What Do I Do With It?
• Publisher of ODG Product Line• Evidence-based disability duration, medical treatment guidelines
• Predictive Analytics and Medical Management Tools• Comorbidity Calculator, Cost Calculator, Risk Assessment
Score, RTW Prescription, UR Advisor, Drug Formulary, NDC Advisor
ODG from Work Loss Data Institute
Where Did We Come From? Circa 1996…
Collection of 10 Million Lost Time Cases• Claims Data
• 3.5 Million Claims • National Workers Comp and STD Carriers• TPAs and Self-Insured Employers
• National Health Interview Survey hosted by the CDC• OSHA
• Survey of Occupational Injuries and Illnesses (SOII)
Where Does the Data Come From?
Scientific medical literature review• Alphanumeric evidence ranking process
Raw (claims & survey) data analysis
Where Does the Data Come From?
What is Data Used For?
What is Data Used For?
What is Data Used For?
What is Data Used For?
EBM Treatment Guidelines
RTW Duration
Guidelines
Cast Modeling
ODG 2016
• Total costs are an EXPONENTIAL function of disability duration / return-to-work
Return-To-Work /Duration Guidelines
Risk Assessment Score (RAS)• What is it?• Where does it come from?• How well does it work?• What are the needed inputs?• How often do scores change?• Can I just get it on ODG?• Should I ?• How does it compare to others?
Risk Assessment Score (RAS)
Magnitude
Score
VolatilityScore
50%
50%
Demographics
Performance Data Workers’ CompClaim File National Carrier
Did RAS Predict High Risk Claims?
RAS For Indemnity
Put your resources to the highest and best use attacking problem claims early with RAS scoring
EBM medical and RTW management drives optimal health outcomes, lower costs
RAS For Indemnity
Connectivity & Automation
Maximize ROI On Claim Spend
Future of Big Data
