SYSTEM AND METHOD OF DETERMINING AND OPTIMIZING HEALTHCARE SAVINGS OPPORTUNITIES FOR INDIVIDUALS VIA ALTERNATIVE ENGAGEMENT CHANNELS

摘要

A system and method is provided for determining healthcare savings opportunities for individuals and the likelihood of achieving those savings via alternative engagement channels (or modalities) to optimize clinical (outreach) coaching opportunities. A potential cost savings associated with a targeted change (or coaching opportunity) of a customer may be determined. First and second probabilities of achieving a goal (that corresponds to the targeted change) when first and second modalities are used, respectively, to engage the customer to assist the customer in achieving the goal may be determined. A first score associated with the first modality and the goal may be determined based on the potential cost savings and the first probability. A second score associated with the second modality and the goal may be determined based on the potential cost savings and the second probability. Either the first modality or the second modality is selected as a selected modality based on a comparison of the first score and the second score for use in engaging the customer to assist the customer in achieving the goal.