Plainville, CT  - September 23, 2009 - Dr. Tino Villani, CEO of Triad Healthcare Inc. will be making a presentation titled "Predicting Provider Utilization Behavior by Combining Claims Data with Publicly Available Regulatory Data" for The American College of Chiropractic Consultants and The College on Forensic Sciences 2009 Annual Fall Conference, Illinois October 8-10, 2009.

Description: Variation in provider utilization of services is commonly seen as a regional and professional characteristic associated with medically unnecessary, as well as potentially abusive or fraudulent care. Utilization characteristics such as treatment frequency, intensity, level and duration may vary widely from provider to provider within defined communities and represent a range of provider behaviors on a continuum that ranges from "best practice" to "fraud". Categorizing and predicting such behavior may have value in a wide range of health care delivery environments for programming and policymaking to improve patient safety, quality of care, and reducing medical expense.

A data set consisting of paid medical claims covering 2 million commercially-insured members in different regions of the United States over a recent 5-year period (2004-2008) will be used to identify practice patterns of more than 2,000 chiropractors treating over 200,000 patients. Public regulatory data, derived from the Federation of Chiropractic Licensing Board's CIN-BAD data will be used to identify educational, demographic, and disciplinary information most likely to predict the use of medically unnecessary and/or excessive care. Other information such as patient diagnoses, provider practice patterns, and total patient cost of care will also be considered. Aggregate provider summaries will be presented, as well as a demonstration of physician variation related to each predictive metric.

Triad Healthcare to present at The American College of Chiropractic Consultants and The College on Forensic Sciences 2009 Annual Fall Conference in Oak Brook, Illinois, October 9-10.

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For more information, please contact Tonia Roy at 800.550.0540 or email at Troy@triadhealthcareinc.com.

Triad Healthcare, Inc. is located at 80 Spring Lane, Plainville, CT 06062.

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