OPTIMIZING CARE MANAGEMENT INTERVENTIONS USING PREDICTIVE MODELS

原文（中文）

A first risk score for each member in a population is generated using a first predictive model. A second risk score is generated for each member in the population using a second predictive model. The population is stratified into a plurality of risk groups based on: (i) predefined manageable medical conditions; (ii) the first risk score; and (iii) the second risk score. Based on the plurality of risk groups, the population is segmented into a high-risk group and a low-risk group. A panel of care management associates of a plurality of care management associates is assigned to each member in the member population based on whether the member belongs to the high-risk group or the low-risk group.