• Login
    View Item 
    •   UMB Digital Archive
    • School of Social Work
    • Employee Assistance Archive School of Social Work
    • View Item
    •   UMB Digital Archive
    • School of Social Work
    • Employee Assistance Archive School of Social Work
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Pareto Group Instability and the Prediction of Health Care Claims Costs

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Attridge 1998 APS Conference ...
    Size:
    158.1Kb
    Format:
    PDF
    Description:
    Attridge 1998 APS Paper - Pareto ...
    Download
    Author
    Attridge, Mark
    Date
    1998
    Peer Reviewed
    American Psychological Society
    Type
    Report
    
    Metadata
    Show full item record
    Abstract
    As the cost of health care has increased so have efforts to control costs. An assumption underlying many of these efforts is that health care costs can be predicted. A corollary assumption is that if costs can be predicted, then they can be managed. One fact used to support this approach is that a small group of people typically do create the vast majority of health care costs. The 20/80 rule indicates that within a given population, 20% of the people create 80% of the costs for a year period, with this high-cost subpopulation being called the “pareto group.” If one could predict who the pareto group will be, then the task of managing costs could be directed toward this smaller group rather than to all people in a health care system. This study investigated the stability of heath care costs using a methodology featuring a two-year longitudinal design, stratified random sampling, a large sample size (N = 974), claims system data and self-report survey data, and statistical testing. The typical “regression to the mean” effect was observed, as extreme cases (both high cost and low cost) moved toward the middle during the next year. Almost two-thirds of cases changed their claims cost group status from one year to the next year. The “pareto” group (top 20% of costs in the past year) was the most unstable, with less than 4% still classified at the same highest-cost level the following year. The most striking finding was that 92% of future claims costs could not be predicted, even when using past claims costs and relevant survey data on age, sex, health care visits and psycho-social concerns. Cost control implications of prevention, health promotion, and demand management services (such as employee assistance program counseling and education) are discussed.
    Table of Contents
    Introduction. Method. Results. Conclusions. References.
    Description
    Full-text academic style paper that describes an original research study based on a random sample of employees working for a state-wide government organization, which was the customer of the external EAP program vendor. The study uses survey data and matched two-years of health care claims data. 12 pages. 2 Tables. 4 References.
    Citation
    Attridge, M. (1998, June). Pareto group instability and the prediction of health care claims costs. Paper presented at the meeting of the American Psychological Society, Washington DC.
    Sponsors
    Optum (a specialty division of United HealthCare Corporation)
    Keyword
    claims data
    Pareto Group
    Employee assistance programs
    Cost
    Health Promotion
    Risk Factors
    Surveys and Questionnaires
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/3852
    Collections
    Employee Assistance Archive School of Social Work

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.