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1325 keynote yale_pdf shareable
1. State of the [Data] Science
Predictive Analytics World Healthcare
New York, NY October 31 2017
Ken Yale, DDS, JD
Chief Clinical Officer, Delta Dental
2. @docyale
Sophistication
Gain
Standard Reports What happened?
Source: Competing on Analytics, Davenport/Harris, 2007
Ad hoc reports How many, how often, where?
Query/drill down What exactly is the problem?
Alerts What actions are needed?
Statistical analysis Why is this happening?
Forecast/extrapolation What if these trends continue?
Predictive modeling What will happen next?
Optimization What’s the best that can happen?
Predictive
and
Prescriptive
Analytics
Descriptive
Analytics
DATA SCIENCE
4. @docyale
* Lynch et al. Documenting Participation in a DM Program. JOEM 2006; 48(5)
1 Frazee et al. Leveraging the Trusted Clinician: Documenting Disease Management
Program Enrollment. Disease Mgmt 2007; 10:16-29
PROBLEM: CONNECTING WITH CONSUMERS
30%
15%
7%
3.5%
0
0.2
0.4
0.6
0.8
1
1.2
Eligible Contacted Participant Behavior
Improvement
5. Prepare
Data
Segment
Develop
Personas
- Gather demographics, health
history, risk assessments, health
attitudes, interaction data,
clinical analytics
- Organize and aggregate at the
Member, Activity and Condition
level
- Gather generally available, non-
specific information about
household behaviors and lifestyles
Gather Internal
Data
Gather External
Data
Combine
- Determine health
attitudes, behaviors
and lifestyles
- Put demographics
and behaviors in
context
- Convert all data into
numeric form for
statistical analysis
- Apply cluster
analysis algorithms
(e.g. K-Means, CART)
to determine
segments
- Analyze all Segment
characteristics
- Develop representative
example Persona Profiles
for each Segment
- Optimize products/
services for each
Segment
Example of population micro-segmentation: groups with uniform behaviors,
attitudes and lifestyles
SOLUTION: MICRO-SEGMENT
Source: Wiese K., 2014, Member Experience and Communications Segmentation Pilot, North Carolina State Health Plan
https://shp.nctreasurer.com/Board%20of%20Trustees%20Meeting%20Documents/BOT_4a_Segment_Pilot-8-1-2014.pdf
6. @docyale
PROBLEM: LOW PREDICTABILITY (≈ 20%)
Source: Society of Actuaries (2007) A Comparative Analysis of Claims-Based Tools for Health Risk Assessment.
7. @docyale
Traditional Financial Claims Data
Medical Conditions
Frequency
Psychosocial
Acuity or Chronicity
Complexity of Care Groupers
Clinical Decision Making
Financial Claims & Clinical Data
20% 25% 30% 35% 40% 45%
ACG
CDPS
Clinical Risk Group
DxCG (Verisk)
DxCG (Verisk)
Ingenix (Optum)
Medicaid Rx
Impact Pro
Ingenix ERG (Optum)
ACG Dx+Rx
DxCG UW Model
MEDai
Clin/Fin - Train
Clin/Fin - Test
SOLUTION: FINANCIAL AND CLINICAL INPUTS
Source: Wei H. “Prediction vs. Intervention (2014). Predictive Modeling Summit presentation. November 13, 2014,
Washington, DC.
10. @docyale
Payers/Providers:
• Care and Utilization Management
• Stratification and Identification
• Revenue Cycle Management
• Payment
• Risk Adjustment
• Claims Management
• Fraud and Abuse
• Actuarial and Underwriting
• Health Benefit Selection
• Treatment Options
• Medical Staffing
• Accountable Care / P4P
• Business & Clinical Process
Improvement
Pharma/Biotech/Device Manufacturers
• Research & Development
• Clinical Trials, Investigator Training
• Pragmatic Clinical Trials
• Health Economics/Outcomes Research
• Marketing/Product Launch
• Health Technology Assessment
• Protocol Development
• Regulatory Compliance
• Medical & Safety, FDA/EMA response
• Project Management, HR Planning
• Biostatistical Analysis
• Quality Assurance
• Coverage with Evidence Development
CURRENT USE OF ANALYTICS
11. @docyale
•Health analytics payer/provider (non-drug/device) market: $4.5 billion in 2013
•Growing at 25.2% CAGR from 2013 to 2020 to reach $21.5 billion, fueled mainly
by a growing need for predictive analytics for both payer and provider
•Growth fueled mainly by need for predictive analytics, a less saturated market
with new applications emerging across payer, provider, and life sciences.
•The market is considered “nascent” and unsaturated with new competitors and
emerging as technology advances and costs increase
•Fragmented, with major players having less than 15% share of market
•Major players include:
•Factors restraining market uptake: shortage of data scientists, provider resistance,
acute IT staff shortage, lack of standard data, operational gaps
Cerner
IBM/SPSS
Elsevier/Medai
McKesson/Medventive
MedeAnalytics
Optum/Humedica/Symmetry
Oracle
Truven Health
Verisk/DxCG
Other (SAS, Dell/Statsoft)
HEALTHCARE DATA ANALYTICS MARKET
14. @docyale
▪ Improved quality of care
▪ Transparency for better care, products, and provider decisions
▪ Pharmacovigilance/comparative effectiveness
▪ Patient recruitment
▪ Medication adherence
▪ Quality measurement and improvement
▪ Evidence-based medicine
▪ New revenue sources (e.g., P4P, CIN, ACO)
▪ Value-based pricing, real-world outcomes
▪ Subpopulation coverage decisions
▪ Provider selection
Payors
Consumers
Hospitals/Physicians
Pharma
▪ Outcomes transparency
▪ Regulatory monitoring
▪ Understanding wellness
Employers/Government
Value enabled by patient-level data
linking claims, Rx, lab, clinical, EMR
New sources of data, such as social
media, give additional ability to create
an individual patient profile
Given current data science tools, new
analytic services are an attractive
“adjacency”
Investments in data lay groundwork
for long-term value both in direct data
opportunities and enhanced analytic
services
New social media channels expand
patient engagement opportunities
NEW OPPORTUNITIES
19. @docyale
New medical “breakthroughs”
Tailor treatment and drugs to the individual – not “one-size-fits-all”
Better care, lower costs
“Precision medicine gives us one of the
greatest opportunities for new medical
breakthroughs that we have ever seen.”
President Barack Obama
January 30, 2015
https://www.whitehouse.gov/precision-medicine
https://www.genome.gov/images/content
Li-Pook-Than J, Snyder M. Chem Biol. 2013 May 23;20(5):662
PRECISION MEDICINE?
20. @docyale
1 2 3Identify Persons with Increased
Pre-disposed Risks
Genetic Test & Engagement in
Targeted Wellness Programs
Analyze Metrics, Refine
Approach
Feedback Loop
Identification & Screening
• Identify persons pre-disposed
to Metabolic Syndrome
• Provide counseling sessions to
help understand options and
answer questions
• While discussing options,
enroll in select wellness and
prevention programs
Measure ResultsGenetic Testing & Counseling
• Participation in targeted
wellness/prevention program
ID pre-
disposed risks:
• Surveys
• Participate in wellness
& prevention programs
• Claims analysis for
clinically recommended
preventative tests and
procedures (e.g., HEDIS)
GENETIC TESTING PILOT
Steinberg G., et al.. (2015). Reducing Metabolic Syndrome Risk Using a Personalized Wellness Program. JOEM. 57(12):
1269-1274.
22. @docyale
“DIGITIZATION” OF HEALTHCARE
1) Digital Inputs = Rapid Growth in
Sources of Digital Health Data
2) Data Accumulation = Proliferation
of Digitally-Native Data Sets
3) Data Insight = Generated Following
Accumulation & Integration of Data
4) Translation = Impact on
Therapeutics & Healthcare Delivery
5) Outcomes =
Measure Outcomes &
Iterate…
Innovation Cycle Times
Compressing
Source: Internet Trends 2017, by Mary Meeker, kpcb.com/InternetTrends
23. @docyale
Source: PBS, Propeller Health, TechCrunch, Livongo, Ayasdi, Flatiron, Xconomy, Kinsa, Omada
Patient Empowerment
& Health Management
Propeller Health + Bluetooth
Inhaler Sensor = Improved
Medication Adherence +
Insights
Livongo + Connected Glucose
Meter = Personalized Coaching
+ $100/Month Savings for
Payers
Improvements to
Clinical Pathways /
Protocol
Ayasdi AI + Mercy Health
System Patient Data = Clinical
Anomaly Detection + Improved
Clinical Pathway Development
Flatiron + Foundation Med (FMI)
= 20,000 Liked Cancer Patients
Records + Personalized
Medicine
Preventative Health
Kinsa + Crowdsourced
Temperature Data = Local Flu
Predictions + Proactive
Treatments for Populations
Omada + Preventative Program
= 4-5% Body Weight Reduction
+ Reduced Risk for Stroke and
Heart Disease
“DIGITIZATION” OF HEALTHCARE
Source: Internet Trends 2017, by Mary Meeker, kpcb.com/InternetTrends
![State of the [Data] Science
Predictive Analytics World Healthcare
New York, NY October 31 2017
Ken Yale, DDS, JD
Chief Clinical Officer, Delta Dental](https://image.slidesharecdn.com/1325keynoteyalepdfshareable-171031225242/85/1325-keynote-yale_pdf-shareable-1-320.jpg)
