METHODS AND SYSTEMS FOR DETERMINING HEALTH RISK SCORE, RISK OF HOSPITALIZATION AND FORECASTING HEALTHCARE COST

摘要

Various disclosed embodiments include methods and systems for determining a plurality of patients' risk of hospitalization and for forecasting healthcare cost. The method includes receiving a plurality of patients' clinical data from encounters over a predetermined time period and mapping disease codes in the clinical data of the plurality of patients to respective chronic diseases. The method includes determining, for the plurality of patients, health risk scores for the respective chronic diseases by applying disease models for the respective chronic diseases to the clinical data.