--- title: Healthcare Risk Adjustment and Predictive Modeling description: "2011 | Ian G. Duncan | Course of Reading for SOA Fellowship study in the Group & Health specialty track." --- Textbooks # Healthcare Risk Adjustment and Predictive Modeling [ Arbital Health ](https://arbitalhealth.com/blog/author/arbital-health) Jan 1, 2011 [mailto:?subject=Check%20out%20https://arbitalhealth.com/blog/healthcare-risk-adjustment-and-predictive-modeling&utm_medium=social&utm_source=email%20&body=Check%20out%20https://arbitalhealth.com/blog/healthcare-risk-adjustment-and-predictive-modeling&utm_medium=social&utm_source=email](mailto:?subject=Check%20out%20https://arbitalhealth.com/blog/healthcare-risk-adjustment-and-predictive-modeling&utm_medium=social&utm_source=email%20&body=Check%20out%20https://arbitalhealth.com/blog/healthcare-risk-adjustment-and-predictive-modeling&utm_medium=social&utm_source=email) [Textbooks](https://arbitalhealth.com/blog/tag/textbooks) Published: 2011 Publisher: ACTEX Publications * * By Ian G. Duncan   *This text is listed on the Course of Reading for SOA Fellowship study in the Group & Health specialty track.* *Healthcare Risk Adjustment and Predictive Modeling* provides a comprehensive guide to healthcare actuaries and other professionals interested in healthcare data analytics, risk adjustment and predictive modeling. The book first introduces the topic with discussions of health risk, available data, clinical identification algorithms for diagnostic grouping and the use of grouper models. The second part of the book presents the concept of data mining and some of the common approaches used by modelers. The third and final section covers a number of predictive modeling and risk adjustment case-studies, with examples from Medicaid, Medicare, disability, depression diagnosis and provider reimbursement, as well as the use of predictive modeling and risk adjustment outside the U.S. For readers who wish to experiment with their own models, the book also provides access to a test dataset.   [ Read Full Textbook ](https://books.google.com/books/about/Healthcare_Risk_Adjustment_and_Predictiv.html?id=DX7vVjHbDuEC)   ### View More News & Insights from the Arbital Health Team: Publication ### [Mining Health Claims Data for Assessing Patient Risk](https://arbitalhealth.com/blog/mining-health-claims-data-for-assessing-patient-risk) Arbital Health Jan 1, 2012 Publication ### [Racial and Ethnic Disparities in the Burden and Cost of Diabetes for US Medicare Beneficiaries](https://arbitalhealth.com/blog/racial-and-ethnic-disparities-in-the-burden-and-cost-of-diabetes-for-us-medicare-beneficiaries) Arbital Health May 15, 2019 Publication ### [Predicting High Need End-of-Life in Medicare Patients through Machine Learning](https://arbitalhealth.com/blog/predicting-high-need-end-of-life-in-medicare-patients-through-machine-learning) Arbital Health Jul 21, 2023 ### Sign-Up for Arbital Health Email Updates Unlock a wealth of valuable insights and stay ahead of the curve with Arbital Health's exclusive email updates. 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