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DI
Darnell Ibrahim
High RiskSyntheticP-1050 · 73 y/o · Female · ACO Shared Savings · Southeast · PCP Dr. Turner · Member since 2013
98
Sample riskMock model
$2139
Cost PMPMClaims
ConditionsClinical
- Chronic Kidney Disease
- Heart Failure
- COPD
Recent utilizationUtilization
Last 12 months
2
Admissions
4
ED visits
Yes
30d readmit
MedicationsPharmacy
- Losartan 50mg daily
- Carvedilol 12.5mg BID
- Furosemide 40mg daily
- Tiotropium inhaler daily
- Albuterol PRN
Open care gapsQuality
- Diabetic eye examOpen
- HbA1c test overdueOpen
20-year illustrative historyLongitudinal (synthetic)
Annual encounters and cost
Care manager review
Manual approval required before outreach
Current role: Executive. Approval requires Care Manager or Clinical Reviewer.
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