Socially situated risk: challenges and strategies for implementing algorithmic risk scoring for care management.
Paige NongJulia Adler-MilsteinPublished in: JAMIA open (2021)
Current approaches to risk scoring based on claims data for payer-led programs struggle to gain physician acceptance and support because of data limitations. To respond to these limitations, physician input regarding socially situated risk and utilization of more timely data may improve eligibility determinations.