New Year’s resolutions are not commitments to change. If a person is committed to make positive and constructive changes, a specific date such as Jan. 1 is not necessary. Any day can do.
A new research in the INFORMS journal Manufacturing & Service Operations Management finds that Medicare Advantage (MA), the largest healthcare capitation program in the U.S., unintentionally incentivises health plans to cherry-pick profitable patients from traditional Medicare (TM). The study, “Can Big Data Cure Risk Selection in Healthcare Capitation Program? A Game Theoretical Analysis,” shows that even if the current MA risk adjustment design became informationally perfect through increased availability of big data, incentives would continue to persist for risk selection, primarily because of the way the current risk adjustment model is designed. Co-author SMU Assistant Professor of Operations Management Zhaowei She said, “No generic risk adjustment algorithm can solve the strategic prediction problem in risk adjustment without explicitly taking into account the underlying mechanism in healthcare capitation programs.” The study calls for practitioners and policymakers to change their views of seeing risk adjustment as a pure statistical and machine learning problem and to look more comprehensively at the human impact.
The company started the new year by reworking internal communication standards and clearing calendars of all recurring meetings with more than three people.
Since the onset of the pandemic, we have all learned just how crucial supply chains are in our economy and daily lives; even more so, have we all learned how important pharmaceutical supply chains are, especially when considering the mechanisms of disease spread. Supply chains in the pharmaceutical industry are extremely complicated due to all the different entities involved in decision-making, including actors specific to the industry: regulatory organizations, insurance companies, and GPOs. This is what a recently awarded Northeastern University NSF grant project sets out to investigate.
Russia’s invasion of Ukraine stymied plans to open an American university in the capital. After moving online the first year, the institution is charting a path through the chaos.
Ashley Smith
Public Affairs Coordinator
INFORMS
Catonsville, MD
[email protected]
443-757-3578
An audio journey of how data and analytics save lives, save money and solve problems.
Something remarkable is happening in Washington. Tech executives who once shunned the political spotlight now make regular pilgrimages to Capitol Hill, and artificial intelligence — a field that traces back to the 1950s — has become the talk of the town.
The company will no longer let people hang out or use its restrooms without making a purchase. It's a business move that some say could come with unintended consequences of racial bias reminiscent of an incident that thrust one Philadelphia Starbucks into the national spotlight.
Tariffs could raise the cost of medical care and prescription drugs for people in the U.S.
New findings from a team of renowned researchers calls for transparency and rigorous oversight of the U.S. Medicare Advantage (MA) program, the United States' largest healthcare capitation program.
A groundbreaking new study in the INFORMS journal Transportation Science reveals the severe and far-reaching consequences of Russia’s full-scale invasion of Ukraine on global food security. The research highlights an urgent need to address disruptions in the transportation of Ukrainian grains, which have caused dramatic price spikes and worsened food insecurity worldwide, particularly in vulnerable regions such as the Middle East and North Africa.
Dockworkers on the East and Gulf coasts could go on strike again in less than two weeks if they don’t reach a contract agreement with ports and shippers. Talks are set to resume next week, according to Bloomberg. The main sticking point between the two sides? Automation.
Billionaire investor Mark Cuban's question to Representative Matt Gaetz, a Florida Republican, on energy costs took off on social media on Saturday.
Florida lawmakers have banned wind turbines off its shores and near the coast, saying the bill is meant to protect wildlife and prevent noise.