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Case Study: Healthcare

Medical Screening is the key to Good Health

Business Problem:

A large healthcare provider wanted to Identify eligible individuals who have not availed medical screening.

Abzooba Solution:

  • The solution enables the client to pinpoint eligible individuals who have not availed medical screening facilities.
  • Machine Learning algorithms, created using SQL and Python are used to design clustering mechanisms.
  • Business rules, adhering to HEDIS measures and guidelines have been incorporated into the algorithms.
  • Clustering presentations are created using D3.

Business Benefits:

  • The client is observing an increase in income by around 35% due to the increase in the number of medical screenings.
  • The solution has also been helping them to generate income from Quality Performance Measure (QPM) incentives that are awarded on a PMPM (Per Member Per Month) basis.
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