EICHMEYER, MARC ALLAN,JOHNSON, WESLEY SCOTT,VAUGHN, ERIC MARTIN,WALZ, MICHELLE L.,WEI, HENRY G.,STEINBERG, GREGORY B.,REISMAN, LONNY
申请号：
CA2974404
公开号：
CA2974404A1
申请日:
2016.02.24
申请国别(地区):
CA
年份:
2016
代理人:
摘要：
Predicting future healthcare costs is disclosed. A method includes: receiving medical care information (e.g., claims data) relating to patients； identifying, by a cost prediction module, a presence of one or more monitored events representing modifiable health risks when the claims data indicates that the patient is receiving medical care that is not in compliance with evidence-based medical standards； mapping, by the cost prediction module, each of the one or more monitored events to utilization and/or cost prediction values based on a status of each of the one or more monitored events； assigning, by the cost prediction module, for each of the one or more monitored events, a probability score for utilization of medical services based on the status of the monitored event； and calculating a prediction of future healthcare utilization and/or cost based on the probability score and status for each of the one or more monitored events.
