Stratification & Level of Service. Based on the results of the initial screening as well as mining of historical claims data and clinical data from health information exchanges, the Contractor shall stratify its membership into various subpopulations to identify member level of service and ensure continuity of care. The outcome of the member assessment set forth above in Section 3.8.1 will determine the member’s needs in the stratification process resulting in the member’s assignment to one of the levels of care coordination service, set forth below in this section.
Appears in 10 contracts
Samples: Professional Services, Professional Services, Contract for Providing Risk Based Managed Care Services
