Predictive Modeling: A Guide for State Medicaid Purchasers


Predictive Modeling: A Guide for State Medicaid Purchasers


This guide for care managers and State Medicaid agencies provides information on how to use predictive modeling tools to identify patients who are good candidates for care management. A list of key considerations can help States prioritize and effectively target populations for care management, and help guide decisionmaking for patient care. The guide helps agencies do the following:

  • Understand which features of a predictive model are critical as well as how to enhance information that is derived from predictive models for Medicaid populations
  • Address planning questions to guide the implementation of predictive modeling
  • Outline key considerations for choosing a predictive modeling tool to identify candidates for care management


Center for Health Care Strategies, Inc.

Funding Sources:

Aetna Foundation; Kaiser Permanente


Release Date: 2009
Original Summary: January 2014
Last Updated: 01/29/14

QualityTool Classification

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