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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.



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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