Systems and methods for projecting sample store activities...

G - Physics – 06 – Q

Patent

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G06Q 30/02 (2012.01) G06Q 50/22 (2012.01)

Patent

CA 2691548

Systems and methods are provided for estimating non-sampled store activities by applying projection factors to sampled store activities taking into account restrictions on non-sampled store activities. The systems and methods adjust data pro-jection factors for managed healthcare plans that have restrictions in non- sampled stores to prevent unrestricted activity under these plans at sample stores from being projected into non-sample stores where such projected activity would be restricted. Conventional sampled-to-non-sampled store projection factors leading to restricted plan activities are reallocated to non-restricted plan activities in the non-sample store based on the historical ratio of such activities observed in sample stores.

L'invention porte sur des systèmes et des procédés pour estimer des activités de magasin non échantillonné par application de facteurs de projection à des activités de magasin échantillonné, en prenant en compte des restrictions sur des activités de magasin non échantillonné. Les systèmes et les procédés ajustent des facteurs de projection de données pour des plans de santé gérés qui ont des restrictions dans des magasins non échantillonnés pour empêcher une activité non restreinte selon ces plans à des magasins échantillons d'être projetée en magasins non échantillons lorsqu'une telle activité projetée serait restreinte. Des facteurs de projection de magasin échantillonné à non échantillonné classiques menant à des activités de plan restreintes sont réalloués à des activités de plan non restreintes dans le magasin non échantillon sur la base du rapport historique de telles activités observées dans des magasins échantillons.

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