System and method for predictive modeling in disease management

Details System and method for predictive modeling in disease management System and method for predictive modeling in disease management

2011-01-25

2011-01-25

O'Connor, Gerald J. (Department: 3686)

Data processing: financial, business practice, management, or co

Automated electrical financial or business practice or...

Health care management

C705S002000, C705S004000

Reexamination Certificate

active

07877277

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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