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Predicting High-Cost Members in the HCCI Database

September 2018

Using the Health Care Cost Institute (HCCI) database, which contains claim information on approximately 47 million members annually over a seven-year time period, we examined which characteristics best predict and describe high-cost members. We found that cost history, age, gender and prescription drug coverage are all predictors of future high costs, with cost history being the most predictive.

Materials

Report

Predicting High-Cost Members in the HCCI Database

Press Release

The Society of Actuaries Expands Research Capabilities with Health Care Cost Institute Data

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