Method And Apparatus For Generating Proxy Eligibility Data
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United States of America Patent
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app pub date -
Mar 11, 2013
filing date -
Mar 11, 2013
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Abstract
A method, apparatus, and computer program product are described herein for generating proxy eligibility data. Input data may be received, such as claim data from a health plan and/or provider organization, or attributed patient lists including patient identifiers of patients currently eligible for coverage in an Accountable Care Organization (ACO). Patient eligibility data may be determined based on the input data, and may be used in generating cost, quality, and/or utilization, metrics, and assessing risk for provider organizations.
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