Healthcare management system and method of predicting high utilizers of healthcare services
First Claim
1. A method of managing healthcare services, comprising the steps of:
- collecting information describing an individual'"'"'s perceived health relative to their subjective expectation of health; and
generating, based upon a predictive model, an output suggestive of future healthcare service use by the individual.
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Abstract
A healthcare management system and method identify individuals at risk of high near-term healthcare use. On step of the method includes collecting information from an individual for a predetermined set of predictive factors. Another step of the method includes assigning, based upon the information from the individual, a separate value to each predictive factor of the predetermined set of predictive factors. The method further includes the step of generating, based upon a predetermined predictive model and the separate values assigned to the predetermined set of predictive factors, a risk level of the individual utilizing healthcare services at a predetermined level within a prospective time span.
56 Citations
23 Claims
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1. A method of managing healthcare services, comprising the steps of:
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collecting information describing an individual'"'"'s perceived health relative to their subjective expectation of health; and
generating, based upon a predictive model, an output suggestive of future healthcare service use by the individual. - View Dependent Claims (2, 3, 4, 5, 6)
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7. A method of managing healthcare services, comprising the steps of:
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collecting information directly from an individual for a predetermined set of predictive factors;
assigning, based upon the information from the individual, a separate value to each predictive factor of the set of predictive factors; and
generating, based upon a predetermined predictive model and the separate values assigned to the predetermined set of predictive factors, a risk level of the individual utilizing healthcare service at a predetermined level.
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8. A method of managing healthcare services, comprising the steps of:
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providing a survey including a plurality of questions;
receiving response information from an individual for each of said plurality of questions of the survey;
determining, from the information of each question, whether the response is indicative of one of a high or a low future use of healthcare services;
assigning values to a plurality of predictive factors based upon the determining step; and
generating, based upon the assigned values, an output suggestive of future use of healthcare services. - View Dependent Claims (9, 10, 11, 12, 13)
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14. A method of managing healthcare service including the steps of:
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collecting information about an individual including a plurality of data points corresponding to a plurality of factors in a set of predictive factors;
determining, for each data point, what the data point indicates about use of healthcare services by the individual; and
generating, based on a predictive model, an output suggestive of future use of healthcare services by the individual. - View Dependent Claims (15, 16, 17, 18)
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19. A method of managing healthcare service including the steps of:
analyzing healthcare information utilizing a predictive model represented by the equations z=β
1X1+β
2X2+β
3X3+β
4X4 . . . β
n-1Xn-1+β
nX1X2+C, and Phigh— use=ez/(1+ez), wherein β
1, β
2, β
3, β
4, . . . β
n represent regression coefficients, X1, X2, X3, X4, . . . Xn-1 represent predictor variables, the predictor variables are dichotomous variables, and the values of the dichotomous predictor variables are determined based upon the healthcare information.- View Dependent Claims (20, 21, 22, 23)
Specification