Payer

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  Recommendation Model

  • Published on: November, 2020
  • CitiusTech

  Recommend focus measures for potential STAR rating goals per contract based on measure-level contextual information input by the user

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  Sentence Entity Resolver for RxNorm

  • Published on: May, 2021
  • John Snow Labs
  • Code Available

  This model maps extracted medical entities to RxNorm codes using chunk embeddings, and has faster load time, with a speedup of about 6X when compared ...

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  Detect PHI for Deidentification

  • Published on: March, 2021
  • John Snow Labs
  • Code Available

  Named Entity recognition annotator allows for a generic model to be trained by utilizing a deep learning algorithm (Char CNNs - BiLSTM - CRF - word em ...

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  Member Outreach Model to Predict Target Responders

  • Published on: April, 2021
  • CitiusTech

  This ML model is used to predict if a member will respond to outreach campaign. It helps prioritise members who are more likely to respond to an outre ...

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  FraudHacker - Anomaly detection system for medical insurance claims data

  • Published on: November, 2017
  • Daniel Hannah
  • Code Available

  Centre for Medicare and Medicaid Services (CMS) is a governing body in United States that administers the nation's major healthcare program. To detect ...

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  Classification and clustering analysis of patient length-of-stay (LOS) in a US hospital

  • Published on: March, 2021
  • Duncan Wang
  • Code Available

  The effective management of patient hospital stays is one of the most challenging yet paramount priorities of modern healthcare systems For this anal ...

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  Differentially Private Synthetic Data-Applied Evaluations and Enhancements

  • Published on: March, 2020
  • Samira Pouyanfar, Anuj Desai, Eduardo de Leon, Joshua Allen, Lucas Rosenblatt, Xiaoyan Liu
  • Code Available

  When collecting sensitive information from groups or organization, it is highly important to maintain an individual's privacy. A formalization of priv ...

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  Cut-off Projection

  • Published on: November, 2020
  • CitiusTech

  Predict the STAR rating cut-offs for all measures and provide projected STAR rating for contracts.

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  Detect Clinical Entities from Medical Notes

  • Published on: March, 2021
  • John Snow Labs
  • Code Available

  It’s a common task in healthcare to extract different entities from the medical records. This is a pretrained NER DL model for clinical terminology. T ...

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  CMS Medicare Fraud Detection

  • Published on: September, 2018
  • Tao Jin
  • Code Available

  Healthcare is a major industry in the U.S. with both private and government run programs. Healthcare fraud is a main problem that causes substantial m ...