Case Study: Healthcare
Medical Screening is the key to Good Health
A large healthcare provider wanted to Identify eligible individuals who have not availed medical screening.
- 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.
- 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.