Research Briefs
Date of this Version
4-3-2019
Abstract
Among high-risk Medicare Advantage members with congestive heart failure, a proactive outreach program driven by a claims-based predictive algorithm reduced the likelihood of an emergency department (ED) or specialist visit in one year by 20% and 21%, respectively. The average number of visits dropped as well, with a 40% reduction in the volume of ED visits and a 27% reduction in the volume of cardiology visits after the first year.
Document Type
Brief
Number
54
See Original Study
https://www.sciencedirect.com/science/article/abs/pii/S0167629618305095
License
This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 License.
Keywords
predictive analytics, health care utilization, risk score
View On LDI Website
https://ldi.upenn.edu/brief/effect-predictive-analytics-driven-interventions-healthcare-utilization
Citation For This Study
David G, Smith-McLallen A, Ukert B. The Effect of Predictive AnalyticsDriven Interventions on Healthcare Utilization. Journal of Health Economics. DOI: https://doi.org/10.1016/j.jhealeco.2019.02.002
Date Posted: 05 June 2019