Summary: | The presented research discusses general approaches to analyze and model healthcare data at the treatment level and at the store level. The paper consists of two parts: (1) a general analysis method for store-level product sales of an organization and (2) a treatment-level analysis method of healthcare expenditures. In the first part, our goal is to develop a modeling framework to help understand the factors influencing the sales volume of stores maintained by a healthcare organization. In the second part of the paper, we demonstrate a treatment-level approach to modeling healthcare expenditures. In this part, we aim to improve the operational-level management of a healthcare provider by predicting the total cost of medical services. From this perspective, treatment-level analyses of medical expenditures may help provide a micro-level approach to predicting the total amount of expenditures for a healthcare provider. We present a model for analyzing a specific type of medical data, which may arise commonly in a healthcare provider’s standardized database. We do this by using an extension of the frequency-severity approach to modeling insurance expenditures from the actuarial science literature.
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