Hesitation of Managed Care to Use Data Mining Essay

One of the biggest hesitations would have to be cost to pass on an implement such a system. The technique depends on an organization having clean selective information to analyze, which requires info being scrubbed and moved to data warehouses. Many payers lack the money and manpower to build and maintain these warehouses. (Kongstvedt, P., Capagemini). In addition, internal politics and the numerous constituencies within a managed care organization fag end make it difficult to focus data mining efforts, says Scott Kozicki.What has changed in this industry to adopt data mining?The demand for more organizations to become more efficient, customers are demanding more and better services in shorter amounts of time. another(prenominal) change would have to be HIPAA, which stands for Healthcare Information Portability and Accountability Act of 1996, it was a law that has more different facets to it one of which protects your private health information. The standards mandated by HIPAA h ave made the data cleaner and streamlines the summary efforts.What complexities arise when data mining is used in health care organizations?One thing that makes data mining in health care organizations complex is just the same as what has helped get it going, HIPAA. compensate though it has created standard rules for cleaning data, it requires that you encrypt information being transmitted over the internet, which adds costs to doing so. about organizations only require it on certain transactions, but some want it done on each transaction. Doing this can increase the cost significantly causing it to raise the costs back up, making it not as feasible to use this practice.Assume you are an employer and that your managed care organization raises your rate based on the results of data mining and predictive modeling software. What are your opinions? What would help make up your mind in regards to adopting these rate changes?My opinion would vary depending on what type of data they we re using and where they got the data from, was it from our employees or a group similar to ours. I would be okay with the rate change as long as they could prove they used data from my specific employees and they had significant data supporting their reasons for the increase in rates.