Inventors:
Parker H. Petit - Roswell GA, US
Martin L. Olson - Marietta GA, US
Assignee:
Matria Healthcare, Inc. - Marietta GA
International Classification:
G06Q 10/00, G06Q 50/00, G06Q 40/00, A61B 5/00, G06F 19/00
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.