SYSTEMS AND METHODS FOR USING MACHINE LEARNING ALGORITHMS TO IDENTIFY CARE GAPS

    公开(公告)号:US20240170154A1

    公开(公告)日:2024-05-23

    申请号:US17992755

    申请日:2022-11-22

    申请人: Aetna Inc.

    IPC分类号: G16H50/30 G16H10/60 G16H20/00

    CPC分类号: G16H50/30 G16H10/60 G16H20/00

    摘要: In some instances, a method is provided. The method comprises obtaining one or more care gap machine learning-artificial intelligence (ML-AI) models; obtaining individual information of an individual, wherein the individual information indicates one or more medical conditions of the individual and personal information of the individual; determining care gap information of the individual based on using the one or more care gap ML-AI models and the individual information, wherein the care gap information indicates one or more predictions for expectancy of a care gap of the individual, and wherein the care gap is associated with a gap in time that the individual has a lapse in receiving medical care for the one or more medical conditions; and performing one or more care gap interventions based on the care gap information.