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Identify the predictive indicators of future costs and use of services
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Identify the likelihood of admission, readmissions, future medical and pharmacy costs, and care coordination issues
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Identify both concurrent as well as prospective member/patient risk scores
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Identify members/patients that have high-care coordination risks and assign appropriate resources
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Gain insight into the chronic conditions of each member/patient to develop chronic condition management plans and targeted campaigns
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Match predictive high-cost members and patients with cost-effective providers to improve outcomes