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Forecasting Quality - What Makes a Forecast Good?This is a discussion on Forecasting Quality - What Makes a Forecast Good? within the Forecasting Special Interest Group forums, part of the Hosted User Groups category; A very interesting article found by Mr Dubossarsky to kick-off a discussion of what makes a forecast good: Forecasting Guru Announces: “no scientific basis for forecasting climate” 28-01- 2009 It ... |
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| Administrator | A very interesting article found by Mr Dubossarsky to kick-off a discussion of what makes a forecast good: Quote:
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| Member | Eugene has posed the question 'what makes a forecast good?' Here's my 2 cents worth: Firstly the forecast should prove to be correct - or at least a better prediction than any other (including gut instinct). So it certainly doesn't have to be perfect. Secondly, the forecast should be based on a causal relationship not just a correlation. For example, there has been a paper published in 2007 that establishes a clear correlation between the US GDP and the number of sunspots as well as between the Dow Jones Industrial Average and the number of sunspots. Is there really a direct effect working here? The graphs do look good however! See the attached paper. I'm sure the are more. |
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| Member Join Date: Aug 2008
Posts: 45
![]() | I agree with Steve and would add another:
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| Member Join Date: Aug 2008
Posts: 11
![]() | If the forecast can not be acted upon then what use is it? So my vote for what makes a good forecast is: Actionable. |
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| New Member Join Date: Feb 2009
Posts: 3
![]() | With regard to actionable: It is not always clear just what is actionable and what is not. Often the actionability of a certain set of forecasts and analyses is only realised after the fact. Actionability is thus a function of the business skills and instincts of the analyst. Where actionability is not immediately obvious, too much information (and the tools and brains to make at least some sense of it) is better than not enough. There is always a significant uncertainty margin. Winners are on the right side of it. Ideally, it is the job of a good manager to synthesise all possible information and determine possible action. In reality however the demand for "actionable" information often comes with a demand for advice as to the action itself. The job of the analyst thus becomes strategic advisory. The job of the manager in this situation is unclear, but it might not include such mundane "technical" things as using available information to make strategic decisions. Sadly, this is all too common. Further, actionability is a function of mandate, scope and timing. Product managers may often want things that can be done NOW, and have little interest in trends that evolve over years, or affect products outside of their domain. These are not "actionable" for the product manager, but certainly of interest to the CEO. |
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| Member | Good points about what is actionable Eugene. To take the discussion in a different direction I have been reading a little in the literature and also into weather forecasting. Here is a definition from Allan Murphy back in the early 1990's. He was a pioneer in the field of forecast verification who wrote an essay on what makes a forecast "good". He distinguished three types of "goodness":
Here is an extract from an interesting website by a bunch of meteorologists: Quote:
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| Guru Join Date: Oct 2007
Posts: 101
![]() | "Don’t predict the future, just make it better for the ones that come after us." Hans Schumacher Bank of America's Quantitative Operations Executive leading modeling, analysis, and testing for Card Services and Small Business. He is also a Center for Future Banking research Research Affiliate.
__________________ Doug - Wetware Businessman Intelligence Expert |
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| Member Join Date: Aug 2008
Posts: 45
![]() | The better the data on current and past performance, the better the forecast can be. I noticed a great initiative from APRA a couple of weeks ago: Quote:
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| Member Join Date: Aug 2008
Posts: 45
![]() | Here is a cross post on a very useful case study and guide to setting up a successful decision market within Motorola. |
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| Administrator | In the area of fraud mitigation technology, insurers are employing data mining and predictive analytics technologies in increasingly innovative ways to identify obscured data patterns and establish effective benchmarks for claims investigations. Insurance and Technology, By Nathan Conz DECEMBER 21, 2009 There is a common misconception that as technology does more, people do less. But while automation relieves people of manual tasks, it also frees them to do their jobs smartly. The benefits of technology are obvious in fraud mitigation, an area of the insurance enterprise where technologies around data mining and analytics have helped special investigations unit (SIU) members take deeper dives into claims data to uncover patterns of potential fraud that previously went undetected. When it comes to fraud mitigation, technology doesn't replace human ingenuity -- it augments it by providing investigators and claims adjusters with more context and more information. As such, the true value of data mining and analytics to fraud mitigation is realized in the innovative ways that carriers leverage it. And for certain, carriers have had to become more innovative as the frequency and complexity of fraud have increased. Fraudsters have ramped up their efforts recently in large part because of the economic downturn. "The most serious current fraud threat is the increasing number of people who are in economic difficulties -- or think they may be in the near future -- and look for claims checks from insurers as a way of obtaining some quick cash," notes Donald Light, a senior analyst in Celent's insurance practice. As fraudsters have turned up the intensity of their attacks, their tactics have become ever more sophisticated. When it comes to fraud prevention, it is no longer possible for technology organizations to hope to maintain a status quo -- those that do not proactively stay a step ahead of the bad guys become their prime targets. "The world is getting smaller, the technology is getting more sophisticated and the bad guys unfortunately are getting more sophisticated too," says Robert Zandoli, VP of IT risk and compliance and chief information security officer at New York-based MetLife ($51 billion in total revenue). "On the other side of that, we have many programs using state-of-the-art technology to continue to keep up with those threats." Citing her own experience as well as conversations with peers, Sheri Farrar, executive director of Chicago-based Health Care Service Corp.'s (more than 12.3 million members) special investigations department, says there has been an increase in healthcare fraud recently. Traditional schemes -- such as billing for services not rendered, miscoding to be paid for services not covered and up-coding -- remain, she adds, but they've grown and evolved. "The traditional fraud is still there," Farrar notes. "But we're seeing increases in using those types of schemes in more-sophisticated ways." To fight those schemes, insurers are turning to increasingly sophisticated data analytics tools. According to Celent's Light, data mining and analytics solutions make up the foundation of modern fraud mitigation technology. "Data mining enables analysts within the claims department or an SIU to find patterns that are invisible to individual adjusters because a single adjuster only sees a small portion of the total claim volume," Light says. "Predictive analytics builds on the data mining findings to create red flags and claim potential scores." Health Care Service Corp. (HCSC) is among the carriers that are employing analytics successfully in the fight against fraud. In June the company announced that it had uncovered a fraudulent scheme involving an Illinois allergist's office that was billing for non-rendered services, unbundling services and balance-billing members. The scam generated $800,000 in fraudulent claims and resulted in $2.5 million in fines and restitution. According to Mone Petsod, a senior investigator in HCSC's SIU, the initial allegations against the allergist involved very small amounts of money. Even after the FBI contacted HCSC with more complaints from members, the case still had little momentum, he admits, acknowledging that in the past the case could have stalled. But by leveraging a joint solution developed in conjunction with IBM (Armonk, N.Y.) and SAS (Cary, N.C.), Petsod was able to uncover suspicious patterns during a data analysis. "The allegations involved rather small sums of money, but when we looked into the data we found other issues with this same provider and her billing," Petsod recalls. "That's when the government began to investigate this case further." The solution, which was custom-developed by HCSC and its vendor partners, is built from IBM's FAMS solution and SAS Enterprise Miner. According to HCSC's Farrar, the two technologies work in tandem. FAMS is a more traditional fraud solution, with rules-based capabilities, while the SAS data-mining tool provides HCSC with the flexibility to perform additional analytics, she explains. "It allows us to drill down into the claims data further than just the code level," Farrar says. "Using those different levels of analytics, you might be able to identify a fraud scheme that, on the surface, wouldn't appear in just your basic data analysis." The key in the allergist case, Petsod says, was comparative analysis. When only the allergist's total billing was examined, the scheme was not apparent. Innovative and Proactive Analysis The break came when Petsod was able to compare how and what the provider in question was billing customers for a particular procedure against other providers' billing. "The main thing that jumped out at me was how the allergist was billing," Petsod says. "It was so different from other allergists." In the past, Petsod adds, the SIU was limited largely to following leads. The new data analysis capabilities enable much broader review. "Previously I wouldn't have been able to look at the whole picture to see how this particular provider was different," she comments. The contracts for the solution were signed in the second half of 2004 and a pilot was conducted in 2005. But, Farrar says, the carrier didn't begin to truly realize the benefits of its new data analysis capabilities until 2007. "It takes time to really understand the capabilities that you have, develop the routines that you want to use and begin to see the results as you apply your data-mining capabilities to your pool of claims," she relates. To ensure that investigators understand the new data capabilities, HCSC has conducted a tremendous amount of training over the past couple of years, reports Farrar, who concedes that in hindsight training should have started sooner, when the solution was in development. "The cases that are being identified [now] are more complex -- there has been a learning curve for the investigators to understand the data as it comes to them," Farrar says. "It requires a lot more interaction between our analysts and our investigators so the analyst can explain to the investigator why the data tends to indicate that something inappropriate is going on." A Scientific Discovery A strong analytics layer also is key to Infinity Property & Casualty Corp.'s (IPACC) fraud-detection strategy. But until 2008 the Birmingham, Ala.-based auto insurer relied on a traditional SIU department that worked closely with the claims adjustment staff to identify and investigate fraud. A part of that process included providing adjusters with National Insurance Crime Bureau (NICB) red flag indicators, which were delivered to adjusters via laminated paper documents. "It was basically up to the adjusters and the supervisor to identify [potentially fraudulent] claims," says William Dibble, SVP, claims, IPACC. "That was how we approached it. It was very traditional, no science applied." In recent years, though, the carrier determined that fraudulent claims were slipping through the cracks. "[Adjusters] were so wrapped up in getting the claim settled that they were missing basic fraud issues," Dibble admits. "We also were finding that there were delays in getting files to the SIU department. It was just an antiquated approach to fighting fraud. We realized that the bad guys were winning. They were becoming much more sophisticated than we were." To fight back, IPACC ($897 million in 2008 gross written premium) implemented a solution that incorporates components of the IBM SPSS (Chicago) predictive analytics suite, including its Decision Management Tools and Modeler products. "We wanted to take a solution that we could use across the enterprise, not just for claims but perhaps for underwriting and sales," Dibble explains. Nonetheless, Dibble stresses, the primary goal of the system was to streamline the claims process. It was important, he adds, to right-track claims that did not have any fraud identifiers -- speeding the settlement process. "I did not want just a fraud model," Dibble says. "I wanted something more robust." What the carrier got with the SPSS tool -- which was purchased in July 2007 and deployed in February 2008 -- is a solution that identifies suspicious claims earlier in the process, allowing the SIU to start investigations earlier and with access to better information. According to a case study developed by Nucleus Research, IPACC has had more success investigating fraudulent claims largely because investigators are examining evidence before it is stale and interviewing the parties involved while their memories are still fresh. Further, the tool has allowed IPACC to take a more nuanced approach to fraud identification. For example, "We can now identify fraud based on geographic location," Dibble explains. "It's not just one rule applied everywhere. For instance, we know that clinical or medical fraud is very big in Miami, so we can build certain rules just for Miami." In one case IPACC found that a specific intersection was seeing a large number of accidents involving its insureds at a certain time of day. "By building rules that looked at all accidents between 10 p.m. and midnight involving multiple-occupancy vehicles and at-fault accidents at a certain intersection, we found a [fraud] ring in that area that was generating claims," Dibble relates. Currently the carrier's adjusters and SIU personnel leverage the new analytics capabilities to identify trends and create rules to address them. But in the future, Dibble notes, he expects that the tool will identify trends proactively, freeing analysts to focus on rules generation. "There is no reason the SPSS software couldn't do that for us," he suggests. "Here's how it is evolving: When we started, we had two analysts that were looking at rules. We're now putting a third one in, and I surely [hope] to put in a fourth next year. Those rules keep changing daily, and we keep getting more robust." Unfortunately fraudsters are changing their tactics just as quickly. In the health insurance space, new types of fraud related to diagnostic testing and alternative therapies are creeping up on carriers, according to HCSC's Farrar. Some of those newer fraud schemes are so complex that they are difficult to detect -- even for some data mining and rules-based technologies. "So many of [the fraud schemes] touch on medical necessity -- healthcare fraud that includes a medical necessity component generally requires that you look at the medical records and have some sort of medical review," Farrar explains, adding that these claims require more human analysis than a rules-based system that flags claims can provide. "The problem seems to be growing, and it seems to be getting more complex as well, making data-mining ... solutions more difficult [to leverage effectively]," Farrar says. "You can't do it with just technology. You need to have the analysts behind that technology to identify the best cases, and then you have to have investigators who understand the data and have the ability to complete investigations." |
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