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Actuarial Science Meets Healthcare Innovation with Frank Cheung
The Health Technology Podcast
Claims Data is the Cornerstone of Insights
Claims data serve as the primary source for understanding financial transactions between payers and providers, offering a clear picture of revenue and expenditures. While historically dominant, actuaries are increasingly integrating additional data sources, such as lab and electronic health record (EHR) data, to refine their models. This trend reflects a shift towards more nuanced financial analysis in the healthcare sector. The evolving relationship between providers and payers, especially amidst the move towards value-based care models, indicates that providers are also engaging with actuaries to inform their pricing strategies.
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