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Predictive Modeling: A Guide for State Medicaid Purchasers


Description

This guide for care managers and State Medicaid agencies provides information on how to use predictive modeling tools to identify patients who are good candidates for care management. A list of key considerations can help States prioritize and effectively target populations for care management, and help guide decisionmaking for patient care. The guide helps agencies do the following:
  • Understand which features of a predictive model are critical as well as how to enhance information that is derived from predictive models for Medicaid populations
  • Address planning questions to guide the implementation of predictive modeling
  • Outline key considerations for choosing a predictive modeling tool to identify candidates for care management

Links to the Tool:
This tool is available at: http://www.chcs.org/usr_doc/Predictive_Modeling_Guide.pdf (If you don't have the software to open this PDF, download free Adobe Acrobat ReaderĀ® software External Web Site Policy.)

Developer

Center for Health Care Strategies, Inc.

Funding Sources

Aetna Foundation; Kaiser Permanente


QualityTool Topic

asp:qt-topic-replace-me


History

  • Release Date: 08/2009
  • Original Summary: 01/2014
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QualityTool Classification
Patient Population:
Patient Care Process:
IOM Domains of Quality:

Last updated: January 29, 2014.