Method and apparatus for assessing credit for healthcare patients

摘要

According to one example embodiment, there is provided a method and an apparatus to evaluate the credit of a healthcare patient. The example embodiment provides methods and computer systems programmed to use multiple variables that are known about a patient prior to a service being rendered to segment the patient population into finer grained groupings. These finer grained groupings allow financial factors, such as a credit score, to be a more accurate predictor. Also, according to another example embodiment, the model is not a generic model for all patients, but the variables and their parameters are specific to a particular healthcare organization's or facility's patient population. This creates a custom model that further enhances its predictiveness.

主权项

1. A computing system comprising:
one or more processors configured to execute instructions, wherein the instructions are configured to cause the computing system to:
receive attribute information for a patient of a healthcare facility;determine a patient population segment for the patient based at least in part on the received attribute information and a custom model for the healthcare facility, wherein the custom model groups patients of the healthcare facility based on attributes of the patients of the healthcare facility; andgenerate a prediction of payment for the patient based at least in part on the determined patient population segment.