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Predicting health-related social needs in Medicaid and Medicare populations using machine learning
by
Hwang, Kevin O.
, Oliveira, Luis C.
, Giancardo, Luca
, Holcomb, Jennifer
, Bernstam, Elmer Victor
, Highfield, Linda
in
639/705/117
/ 692/700/478/2772
/ Aged
/ Electronic health records
/ Government programs
/ Hospitals
/ Humanities and Social Sciences
/ Humans
/ Hypotheses
/ Informatics
/ Intervention
/ Learning algorithms
/ Machine Learning
/ Mass Screening
/ Medicaid
/ Medicare
/ multidisciplinary
/ Patients
/ Public health
/ Science
/ Science (multidisciplinary)
/ Social Determinants of Health
/ United States
2022
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Predicting health-related social needs in Medicaid and Medicare populations using machine learning
by
Hwang, Kevin O.
, Oliveira, Luis C.
, Giancardo, Luca
, Holcomb, Jennifer
, Bernstam, Elmer Victor
, Highfield, Linda
in
639/705/117
/ 692/700/478/2772
/ Aged
/ Electronic health records
/ Government programs
/ Hospitals
/ Humanities and Social Sciences
/ Humans
/ Hypotheses
/ Informatics
/ Intervention
/ Learning algorithms
/ Machine Learning
/ Mass Screening
/ Medicaid
/ Medicare
/ multidisciplinary
/ Patients
/ Public health
/ Science
/ Science (multidisciplinary)
/ Social Determinants of Health
/ United States
2022
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Do you wish to request the book?
Predicting health-related social needs in Medicaid and Medicare populations using machine learning
by
Hwang, Kevin O.
, Oliveira, Luis C.
, Giancardo, Luca
, Holcomb, Jennifer
, Bernstam, Elmer Victor
, Highfield, Linda
in
639/705/117
/ 692/700/478/2772
/ Aged
/ Electronic health records
/ Government programs
/ Hospitals
/ Humanities and Social Sciences
/ Humans
/ Hypotheses
/ Informatics
/ Intervention
/ Learning algorithms
/ Machine Learning
/ Mass Screening
/ Medicaid
/ Medicare
/ multidisciplinary
/ Patients
/ Public health
/ Science
/ Science (multidisciplinary)
/ Social Determinants of Health
/ United States
2022
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Predicting health-related social needs in Medicaid and Medicare populations using machine learning
Journal Article
Predicting health-related social needs in Medicaid and Medicare populations using machine learning
2022
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Overview
Providers currently rely on universal screening to identify health-related social needs (HRSNs). Predicting HRSNs using EHR and community-level data could be more efficient and less resource intensive. Using machine learning models, we evaluated the predictive performance of HRSN status from EHR and community-level social determinants of health (SDOH) data for Medicare and Medicaid beneficiaries participating in the Accountable Health Communities Model. We hypothesized that Medicaid insurance coverage would predict HRSN status. All models significantly outperformed the baseline Medicaid hypothesis. AUCs ranged from 0.59 to 0.68. The top performance (AUC = 0.68 CI 0.66–0.70) was achieved by the “any HRSNs” outcome, which is the most useful for screening prioritization. Community-level SDOH features had lower predictive performance than EHR features. Machine learning models can be used to prioritize patients for screening. However, screening only patients identified by our current model(s) would miss many patients. Future studies are warranted to optimize prediction of HRSNs.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
Subject
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