This document discusses predictive analytics in China and contains the following key points in 3 sentences:
It provides an overview of China's healthcare system and the demand for predictive analytics to address challenges like risk adjustment for rural healthcare budgets and risk-based physician payment systems. It also describes current limited applications of predictive modeling in China including disease risk prediction models and small-scale DRG feasibility studies not yet commercialized. Data sources and coding conventions used in China's healthcare systems are outlined along with opportunities and challenges for further development of predictive analytics.
An overview of the China healthcare market, its structure, trends in reform and growth drivers and constraints. Key challenges to participating in China healthcare are highlighted as are best practices of successful foreign companies playing in China healthcare.
Burson-Marsteller China and Kantar Health jointly released a piece of research on healthcare and wellness trends in China. The survey was organized through an online questionnaire involving 1,000 consumers across tier 1 and 2 cities in China. Over 50% of the respondents, aged 26 and older, were college graduates, and over 70% were professionals and mid-to-high level executives.
Marketing strategy week5 team c hcs490 health care coummer trendsluvonne2012
This presentation will expand on the marketing strategy for implementing the new program. This presentation will also answer the following questions. What health care access options are available to your target audience? How will that affect how you market to them?How do consumers share health information? What are the implications of those methods of communication? How can you use these different methods to market your product?How might government agencies or regulations impact your product? What does your target audience need to know about this and how will you communicate it to them?How might health care reform affect your product? How will it affect your target audience? How will this affect how you market to them?How are your audience's options for health care changing? How does this affect how you will offer your product to them?How will you engage your target audience? How will you ensure relevancy to them? Why are these factors important for your marketing strategy?
An Introduction of Healthcare Market in ChinaZiqian WANG
A research on healthcare market in China covering topics including an introduction of Public Hospital System, Chinese Physicians' Work Condition and Salaries, as well as Continued Medical Education system.
An overview of the China healthcare market, its structure, trends in reform and growth drivers and constraints. Key challenges to participating in China healthcare are highlighted as are best practices of successful foreign companies playing in China healthcare.
Burson-Marsteller China and Kantar Health jointly released a piece of research on healthcare and wellness trends in China. The survey was organized through an online questionnaire involving 1,000 consumers across tier 1 and 2 cities in China. Over 50% of the respondents, aged 26 and older, were college graduates, and over 70% were professionals and mid-to-high level executives.
Marketing strategy week5 team c hcs490 health care coummer trendsluvonne2012
This presentation will expand on the marketing strategy for implementing the new program. This presentation will also answer the following questions. What health care access options are available to your target audience? How will that affect how you market to them?How do consumers share health information? What are the implications of those methods of communication? How can you use these different methods to market your product?How might government agencies or regulations impact your product? What does your target audience need to know about this and how will you communicate it to them?How might health care reform affect your product? How will it affect your target audience? How will this affect how you market to them?How are your audience's options for health care changing? How does this affect how you will offer your product to them?How will you engage your target audience? How will you ensure relevancy to them? Why are these factors important for your marketing strategy?
An Introduction of Healthcare Market in ChinaZiqian WANG
A research on healthcare market in China covering topics including an introduction of Public Hospital System, Chinese Physicians' Work Condition and Salaries, as well as Continued Medical Education system.
THIS PPT IS ABOUT THE HEALTH CARE SYSTEM IN CHINA MOSTLY STUDIED IN ECONOMICS.
THIS ALSO SHOWS YOU ABOUT THE INSURANCE POLICY AND GDP RATE AND MANY MORE
Go-to-Market Strategy: Launching a Diabetes Treatment in ChinaKristy Burton
Complete go-to-market strategy for launching an endoscopic diabetes treatment in China. Presentation includes landscape assessment and strategic analysis of the diabetes treatment market in China.
Each year, the OHE sponsors a lecture that explores a timely issue in medicine or health economics. At the 22nd Annual Lecture, the issues and challenges of universal health care coverage in low- and middle-income countries were presented by Professor Anne Mills of the London School of Hygiene and Tropical Medicine.
The audio of this lecture now is available at http://news.ohe.org/2014/08/19/annual-lecture-2014-universal-health-coverage/
Universal Health Care: Perceptions, Values, and IssuesRenzo Guinto
From the workshop "Universal Health Care: The First Step to Global Health Equity" held last August 5-9, 2012 in Mumbai, India during the 61st General Assembly March Meeting of the International Federation of Medical Students' Associations (IFMSA). Brought to you by the IFMSA Global Health Equity Initiative (http://www.ifmsa.org/Activities/Initiatives/The-IFMSA-Global-Health-Equity-Initiative).
For more information about the workshop, visit http://www.scribd.com/doc/193822108/Universal-Health-Care-PreGA-Program
STATUS OF HEALTH TECHNOLOGY ASSESSMENT IN INDIA (2010)Ruby Med Plus
Research is well-established on a national level, especially essential national Health research (ENHR), with the Indian Council of Medical Research identifying the priority areas. However, the main users of these research findings are academics and researchers. In India, for commissioned research, there is a direct channel of communication between Health care researchers and policymakers. For non-commissioned research the channels of dissemination to policymakers are less clear and more varied, as dissemination of noncommissioned research is limited to academic channels (e.g. papers in peer-reviewed journals or presentations at conferences). The direct dissemination of noncommissioned research at central government level is available to a range of policymakers by distribution of a research report or inviting key policymakers and other stakeholders to a dissemination workshop often less intensively. Another Major constraint, policymakers may not fully understand how to use research to support policy formation as policymakers may not have the ability to evaluate the quality of a research study, difference between qualitative and quantitative research or to interpret research findings, thus experience difficulties in incorporating research findings into policy development for health care programs, which may lead to the failure to translate research into policy or to extraneous conclusions drawn from research results.
Indonesia Healthcare Landscape - An Overview, July 2014Praneet Mehrotra
A brief description of Indonesia's healthcare landscape and the challenges it faces. The country has no choice, but to attract greater investments (also importantly, foreign investments) in capacity creation.
Health Financing for UHC – two sides of the coinHFG Project
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
The People’s Republic of China has made great achievements in improving health status over the past six decades, mainly due to the government’s commitment to health, provision of cost effective public health programmes, growing coverage of health financial protection mechanisms and investments in an extensive health-care delivery network.
THIS PPT IS ABOUT THE HEALTH CARE SYSTEM IN CHINA MOSTLY STUDIED IN ECONOMICS.
THIS ALSO SHOWS YOU ABOUT THE INSURANCE POLICY AND GDP RATE AND MANY MORE
Go-to-Market Strategy: Launching a Diabetes Treatment in ChinaKristy Burton
Complete go-to-market strategy for launching an endoscopic diabetes treatment in China. Presentation includes landscape assessment and strategic analysis of the diabetes treatment market in China.
Each year, the OHE sponsors a lecture that explores a timely issue in medicine or health economics. At the 22nd Annual Lecture, the issues and challenges of universal health care coverage in low- and middle-income countries were presented by Professor Anne Mills of the London School of Hygiene and Tropical Medicine.
The audio of this lecture now is available at http://news.ohe.org/2014/08/19/annual-lecture-2014-universal-health-coverage/
Universal Health Care: Perceptions, Values, and IssuesRenzo Guinto
From the workshop "Universal Health Care: The First Step to Global Health Equity" held last August 5-9, 2012 in Mumbai, India during the 61st General Assembly March Meeting of the International Federation of Medical Students' Associations (IFMSA). Brought to you by the IFMSA Global Health Equity Initiative (http://www.ifmsa.org/Activities/Initiatives/The-IFMSA-Global-Health-Equity-Initiative).
For more information about the workshop, visit http://www.scribd.com/doc/193822108/Universal-Health-Care-PreGA-Program
STATUS OF HEALTH TECHNOLOGY ASSESSMENT IN INDIA (2010)Ruby Med Plus
Research is well-established on a national level, especially essential national Health research (ENHR), with the Indian Council of Medical Research identifying the priority areas. However, the main users of these research findings are academics and researchers. In India, for commissioned research, there is a direct channel of communication between Health care researchers and policymakers. For non-commissioned research the channels of dissemination to policymakers are less clear and more varied, as dissemination of noncommissioned research is limited to academic channels (e.g. papers in peer-reviewed journals or presentations at conferences). The direct dissemination of noncommissioned research at central government level is available to a range of policymakers by distribution of a research report or inviting key policymakers and other stakeholders to a dissemination workshop often less intensively. Another Major constraint, policymakers may not fully understand how to use research to support policy formation as policymakers may not have the ability to evaluate the quality of a research study, difference between qualitative and quantitative research or to interpret research findings, thus experience difficulties in incorporating research findings into policy development for health care programs, which may lead to the failure to translate research into policy or to extraneous conclusions drawn from research results.
Indonesia Healthcare Landscape - An Overview, July 2014Praneet Mehrotra
A brief description of Indonesia's healthcare landscape and the challenges it faces. The country has no choice, but to attract greater investments (also importantly, foreign investments) in capacity creation.
Health Financing for UHC – two sides of the coinHFG Project
Presented at “Financial Protection and Improved Access to Health Care: Peer-to-Peer Learning Workshop Finding Solutions to Common Challenges” in Accra, Ghana, February 2016. To learn more, visit: https://www.hfgproject.org/ghana-uhc-workshop
The People’s Republic of China has made great achievements in improving health status over the past six decades, mainly due to the government’s commitment to health, provision of cost effective public health programmes, growing coverage of health financial protection mechanisms and investments in an extensive health-care delivery network.
This presentation is about Healthcare delivery system in China which includes, the demographic features of China and India, how the China's healthcare started with the historical background, Its health reforms, and the newly formed health infrastructure and the programs. Download the powerpoint to visualize the animation included in the slide.
The Thailand HiT reports that sustained political commitment to the health of the population since the 1970s has resulted in significant investment in health infrastructure, in particular primary health care, district and provincial referral hospitals, and strengthened the overall functioning of the Thai health system. After Thailand achieved universal health coverage in 2002, public expenditure on health significantly increased from 63% to 77% and out-of-pocket expense was reduced from 27.2% to 12.4% of the total health spending in 2011.
The health system of Bangladesh has undergone a number of reforms and has established an extensive health service infrastructure in both the public and private sectors during the past four decades. Bangladesh has achieved impressive gains in population health, achieving the Millennium Development Goal 4 target of reducing under-five child mortality by two thirds between 1990 and 2015, and improving other key indicators such as maternal mortality, immunization coverage, and survival rates from malaria, tuberculosis, and diarrhoea diseases.
The Indonesia HiT reports the significant improvement in the health status of the population over the last 25 years through transitional period in all fields. However, the country faces remaining and foreseeing challenges in communicable diseases and emerging NCDs. The HiT concludes with the future challenges of expanding coverage of National health insurance scheme (JKN), reducing regional disparities in health-care services, managing resources and engaging private sector.
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The Republic of Korea HiT notes that economic development and universal health coverage through national health insurance has led to a rapid improvement in health outcomes. Overall, the health status of the Korean population is better than that of many other Asian countries. Reducing inequality in health coverage outcomes, strengthening primary health care and improving coordination between hospitals and long-term care facilities to meet the needs of the aged population are the challenges facing the Government.
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In this slideshow, Dr Jeremy Veillard, Vice President, Research and Analysis, Canadian Institute for Health Information, describes how data is used in Canadian health care, describing a number of data linkage projects.
Dr Jeremy Veillard spoke at the Nuffield Trust event: The future of the hospital, in June 2014.
The Cambodia HiT reports that the national health sector reforms initiated two decades ago have had a positive impact on Cambodia’s health sector. The country’s health status has substantially improved since 1993 and is on track to achieve the Millennium Development Goal targets. Improving the quality of care is now the most pressing imperative in health-system strengthening.
1. Predictive Analytics in the People’s
Republic of China
Rong Yi, PhD
Senior Consultant
Rong.Yi@milliman.com
Tel: 781.213.6200
4th National Predictive Modeling Summit
Arlington, VA
September 15-16, 2010
2. AGENDA
– Basic statistics about China
– Overview of China’s current health care system
– Demand for predictive analytics in China
– Data sources and coding conventions
– Current research and development
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3. Basic Statistics about China
– Rank 2nd in GDP, at $4.99 trillion
• US is first at $14.3 trillion
– Rank 97th in GDP per capita, at $3,677
• US is $46,442, rank 6th using PPP, or 17th using nominal
GDP
– Exchange rate $1 ~ 6.8 yuan
– Annual GDP growth 9%
Source: CIA World Fact Book
3
4. Basic Statistics about China’s Health Care
Life Expectancy: 73
Infant Mortality: 14.9
per 1,000
22% world’s
population, 2%
world’s health care
resources.
China’s health care
spending is 4.7% of
GDP.
2/3 of the population
are in the rural area,
supported by only
20% of health care
resources.
4
6. Chronic Disease Prevalence
– Chronic conditions account for 80% of deaths in China
– Hypertension: 18.1% of population (160 mil), increased by 33% in 10
years.
– CVD: 16% (230 mil)
– Diabetes: 9.7% (92 mil) adult diabetes, 15.5% (148 mil) prediabetes.
– Overweight and Obesity: 8.1% children age 7-17, 22.4% adults
– Liver: 15% nonalcoholic fatty liver
Source: NEJM 2010, 2007 China’s National Health and Nutrition Survey, 2009
China’s Cardiovascular Disease Report
6
8. Challenges in China’s Healthcare System
– Demand side:
• aging population
• industrialization, urbanization, changes in natural
environment
changes in lifestyle and social values
changes in disease profile and prevalence in the
population
– Supply side:
• Inequality in resource allocation by geography
• Focus on treatment instead of prevention
• Perverse incentives due to physicians’ compensation
structure
8
10. Healthcare Policymaking
– 14 different ministries and commissions are involved
in China’s public health and healthcare policymaking.
– Key organizations are:
• Ministry of Health
– Rural healthcare, New Cooperative Medical System
• Ministry of Human Resources and Social Security
– Medical insurance for urban workers and residents
• Ministry of Finance
– budget
• National Development and Reform Commission
– Reform initiatives and policy oversight
10
11. Healthcare Coverage Types
– Rural: New Cooperative Medical System
• Started in 2003, 100% reach at village level as of 2010
• Voluntary, county level, multiple sources of funding (central + local)
• Basic coverage
– Urban: workers medical insurance and residents medical
insurance
• Workers medical insurance started in 1998
• Residents medical insurance started in 2007
– Private insurance
• Chinese insurers dominant, foreign insurers 5% in market share
• Starting in 2011 foreign insurers are allowed to enter the China
market for individual and group health insurance
– Medical assistance (free care)
11
12. China’s Current Health Reform
– Improving the healthcare system is a high national
priority.
• State Council 4/2009 “Notice about Deepening Health
Care System Reform”
– Social welfare, inequality, affordability, healthcare system
insufficiency and inefficiency, resource allocation,
– $124 billion initial investment between 2009 and 2011
– Basic coverage for 90% of the population by the end of
2011.
– More comprehensive coverage by 2020
> MoH “Roadmap to Healthy China 2020”
12
13. China’s Current Health Reform
– Reform highlights:
• Investment in
– public hospitals: 2,000 new in 2009-2012
– community health: 3,700 new community health services centers, 11,000
new community health services stations
– traditional Chinese medicine
• private sector allowed to invest in public hospitals or take over the
management
• commercial health insurance supplement basic coverage provided
by the government.
• National drug directory and drug price reform
• Provide coverage for seniors, children and disabled through urban
residents’ medical insurance
• Medical informatics
• Payment reform – DRG, capitation, P4P
13
14. Coding and Data Collection
Rural New Cooperative Medical System:
– Ministry of Health, 2005 “Guidelines for NCMS
Information Systems”
• Software development guidelines
• Information Security
• Coding , formatting, data fields
– MoH’s coding of diseases, specialties, provider types, procedure
codes, hospital discharge status, etc.
– All in Chinese. Possible to crosswalk in some categories.
• As basis for reporting and establishing Information
Exchanges
14
15. Coding and Data Collection
Urban workers medical insurance
Urban resident medical insurance
Migrant workers medical insurance
– Ministry of Human Resources and Social Security
• Inpatient discharge data with diagnosis codes
• Weak outpatient data. Diagnosis codes often not required.
• Big variations in file layout and detail level by geography
• Defer to local governments on benefits, allowed medical devices
and diagnostic tests
• National Drug List, defer to local governments on additional drugs to
cover and level of benefits
15
16. Demand for Better Analytics
Rural NCMS
– Fixed contribution for all age/sex; county level risk pools
Deficit in case of catastrophic events, rare diseases, high-cost patients
Need risk assessment and risk adjustment to set reasonable budget, and
perhaps merge risk pools
Urban Healthcare
– Under utilization of primary care and community health centers;
overcrowding at hospitals for nonurgent care
Reform primary care and community health centers: staffing,
communication with patients, case management, referral, care
integration, capitation
Need risk-based physician payment systems and predictive analytics for
medical management
16
17. Demand for Better Analytics (cont.)
Urban Healthcare
– Hospital reform: management & compensation
• DRG pilots in a few hospitals; high priority
– ICD-10 codes.
– weak in claims audit and chart review
– serious concerns about upcoding.
• Contracting with private entities in hospital management
• Private investment and takeovers of public hospitals
– Suqian hospital reform 2000-2006
Need to recalibrate DRGs to China’s data
Need independent quality accreditation
Need best-practice guidelines
17
18. Demand for Better Analytics (cont.)
– Chronic disease specific
• Hypertension management and intervention has 50+ years of history in
China
• Identification of early stage or pre-condition population
– HRA tools since 2003 (SARS)
– Comprehensive physical exams
• Disease management or community based chronic disease
management ?
– Public sector: prefers using community health centers for chronic disease
management
– Private insurers: fierce price competition, low margins; interested in pilots and
performance guarantees.
18
19. Predictive Analytics Applications
No claim-based predictive modeling at the present time.
Commercial use of scoring methods and HRA tools:
– HRA research committee under China’s CDC
– Proprietary HRA tools developed on China’s data
– Specific scoring tools, e.g., ICU scoring systems, disease-specific scoring
Disease risk prediction models based on health screening data on large
populations
– long range prediction
– Divide factors into short-term and long-term groups, and model short-term
risks first
– Long term risks are modified using long-term factors such as lifestyle and
behavioral factors (smoking, exercise)
19
20. Predictive Analytics Applications
Small scale research studies , not yet commercialized:
– DRG feasibility studies
• Based on the Australian & German DRG systems
• Code set modified, but weights are not
• Validated on data from hospitals in Beijing
– Predictions of health care spending using survey data and
regression techniques
• Limited to specific geographic area and demographics
– Neural Network models for predicting medical errors and
malpractice.
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