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Peer-Reviewed Publication
Popul Health Manag2020;23(4):319-325.August 1, 2020Journal Article

A Framework for Predicting Impactability of Digital Care Management Using Machine Learning Methods.

Heather Mattie1,2, Patrick Reidy2, Patrik Bachtiger1, Emily Lindemer2, Nikolay Nikolaev2, Mohammad Jouni2, Joann Schaefer3, Michael Sherman4, Trishan Panch1,2
1Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.
2Wellframe, Inc., Boston, Massachusetts, USA.
3BlueCross BlueShield Nebraska, Omaha, Nebraska, USA.
4Harvard Pilgrim Health Care, Wellesley, Massachusetts, USA.

Abstract

Digital care management programs can reduce health care costs and improve quality of care. However, it is unclear how to target patients who are most likely to benefit from these programs ex ante, a shortcoming of current "risk score"-based approaches across many interventions. This study explores a framework to define impactability by using machine learning (ML) models to identify those patients…

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