Patent Document ID: 20120078656
Application ID: 13313601
Patent Flag: 0

Claim One:
1. A system for predicting healthcare financial risk comprising: a computer; a computer readable medium, operatively coupled to the computer, the computer readable medium storing program codes causing the computer to perform functions comprising: accessing patient data associated with one or more patients, accessing geographic and healthcare system data, the geographic and healthcare system data including unwarranted treatment pattern variation data, wherein the unwarranted treatment pattern variation data includes any variation in treatment across different geographic regions or healthcare systems that is based on healthcare provider behavior which is not in accordance with established evidenced-based clinical guidelines and not caused by patient preferences or physical characteristics, defining a plurality of unwarranted treatment pattern variation adjustment values, each unwarranted treatment pattern variation adjustment value being associated with a particular geographic region or healthcare system, modifying a portion of the patient data based on at least one of the plurality of unwarranted treatment pattern variation adjustment values, and applying a predictive model to the modified patient data to generate patient profile data and to identify a portion of the patients associated with a range of susceptibility to one or more risk events.