13 TAKING ACTION FOR HEALTH PLAN MEMBERS’ HEALTH

An Argument for an Expert System’s Approach to Optimizing Care Management Utilization and Financial Outcomes

STEPHAN P. KUDYBA, THAD PERRY, AND JOHN AZZOLINI

 

Contents

Actionable Information: A Conceptual Framework

Knowledge Discovery through Multivariate Analytics

Conclusions

Acknowledgment

References

 

“Hot spotting” has practically become the battle cry for managed care organizations since an article of the same name was published in The New Yorker in January 2011.1 In this article a physician, Jeffrey Brenner, realized after attempting to save a shooting victim that it was possible to study healthcare utilization patterns in much the same way assault and crime patterns are tracked. For ...

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