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Bill Fulkerson

New 'Deep Claim' Algorithm Could Save Patients, Hospitals Major Money in the Insurance ... - 0 views

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    The model, called Deep Claim, predicts both when and how much an insurance company will pay for a given claim in advance of any payment they make. It was trained with three million de-identified claims including parameters like demographic information, diagnoses, treatments, and billed amounts. Using this information, Deep Claim can not only predict the date and amount of payments with reasonable certainty, but also the likeliest reasonings for any claim denial in play.
Bill Fulkerson

Debating Risk and Value - Marginally Compelling - 0 views

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    When we are in the midst of a pandemic, we need to reduce the risk as far as we can while maximizing the value. As we open our way back out, we start by picking options that slowly increase the risk while still maximizing the value.
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