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Cost-Based Predictive Models Have Racial Bias, So Will Health Plans and Providers Stop Using Them?
evolent health [Opinion] Nov. 18, 2019 "[H]ealth plans and providers use predictive models that rely heavily on past health expenditures to project future spending, rate each patient's level of risk for future health problems and provide additional resources based on those risk scores. However, this cost data doesn't account for the fact that, overall, black patients utilize health services at lower rates than white patients.... It's well past time for population health models to shift their focus from medical expenditures to actual health outcomes. " |
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