Predictive modeling system and method for disease management
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United States of America Patent
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Mar 23, 2010
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app pub date -
Aug 10, 2005
filing date -
Aug 10, 2005
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Abstract
A method and system for administering a disease management program to improve healthcare quality, reduce healthcare costs, and optimize delivery of healthcare services. A multi-condition risk assessment is conducted for all or a substantial portion of a population of program participants, and collected multi-condition risk assessment data are combined with claims data for predictive modeling of future healthcare risk and expense. Participants are risk-stratified into one or more classifications of future healthcare cost risk, and appropriate intervention or delivery of healthcare services is made based on the risk classification.
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