SYSTEMS AND METHODS FOR HEALTH DELIVERY SYSTEMS

摘要

The present invention includes techniques for providing multilevel simulations for healthcare delivery systems. Computational methods may be used to transform the healthcare delivery market to a more efficient model. Multilevel simulations may provide the means to explore a wide range of possibilities, enabling the early identification of good ideas and the discarding of bad ones. This enables simulating the behavior of, among other things, health care policies, strategies, plans, and management practices prior to roll out to avoid, for example, higher-order and unintended consequences.

主权项

1. A method for simulating a processed-based wellness and prevention program comprising:
receiving patient data representing a plurality of patients; determining, for the plurality of patients, a risk level associated with each respective patient for one or more health-related issues; determining, a first total estimated healthcare cost for the plurality of patients based on the associated risk levels; determining, by a computing device, based on the associated risk levels, a stratification of the plurality of patients, into a plurality of risk groups, each risk group corresponding to a stratum; receiving, for each of the plurality of risk groups, a corresponding process-based flow of care; determining, based on a rate of risk reduction associated with application of the process-based flows of care to the corresponding respective risk groups, a second total estimated healthcare cost for the plurality of patients; and determining, based on the first and second total estimated healthcare costs, a cost reduction associated with the wellness and prevention program.