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Aisha Chen
High RiskSyntheticP-1431 · 72 y/o · Male · Commercial PPO · Southeast · PCP Dr. Garcia · Member since 2016
98
Sample riskMock model
$1965
Cost PMPMClaims
ConditionsClinical
- Heart Failure
- Hypertension
- Diabetes Type 2
Recent utilizationUtilization
Last 12 months
3
Admissions
1
ED visits
No
30d readmit
MedicationsPharmacy
- Carvedilol 12.5mg BID
- Furosemide 40mg daily
- Lisinopril 20mg daily
- Amlodipine 5mg daily
- Metformin 1000mg BID
- Empagliflozin 10mg daily
Open care gapsQuality
- Annual wellness visitOpen
- Diabetic eye examOpen
- Breast cancer screeningOpen
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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