Page Comparison

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Assign beneficiary to participating PCPs or primary health units based on rules (i.e., geography, load of beneficiary).
Allow beneficiary to select PCP or primary health units from available list.

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• beneficiary identifier

• Provider identifier

• Census

• Benefit class

• Benefit plan

• Physical proximity (e.g. work or home)

• List of available providers

• Family relationships

• Maximum number of beneficiaries to which a provider can attend

Output

• Provider capitation list

• Provider roster

• Notification of primary provider

Task Set

• List of available providers

• Roster size calculation

• Roster associations

Measurable Outcomes

• Providers receives beneficiary list/roster

• Beneficiary receives notification of primary provider

• Accurate list of beneficiary and selected/ assigned PCP or primary care unit

Sources

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