Transcript Big Data

Mike Del Fierro – JDi Data
Michael Fariello – JDi Data
Ingrid O’Keefe - ODG
Big Data
2 days
=
as much
data created
from
beginning of
time until
2003.
100 hours of
video
uploaded to
YouTube
every
minute.
90% of all
data was
created in
past 2
years.
Every minute:
204 million
emails,
278,000
tweets,
200,000
photos to FB.
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?
What Do I Do With It?
•
Define Business Needs
•
Create Dashboards
•
Data Mining/Analytics
•
Fraud 1/10
•
Benchmarking to Flag Claims
ODG from Work Loss Data Institute
• 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
Where Did We Come From? Circa 1996…
Where Does the Data Come From?
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
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
ODG 2016
Cast
Modeling
Return-To-Work /Duration Guidelines
•
Total costs are an EXPONENTIAL function of disability duration
/ return-to-work
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)
50%
50%
Demographics
Performance Data Workers’ Comp
Claim File National Carrier
RAS For Indemnity
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
Maximize ROI On Claim Spend
Connectivity & Automation
Future of Big Data
Thank You!
Ingrid O’Keefe
[email protected]
Mike Del Fierro
[email protected]