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HE
Hannah Ellis
High RiskSyntheticP-1609 · 68 y/o · Male · ACO Shared Savings · Southeast · PCP Dr. Kim · Member since 2008
98
Sample riskMock model
$2243
Cost PMPMClaims
ConditionsClinical
- COPD
- Diabetes Type 2
Recent utilizationUtilization
Last 12 months
3
Admissions
5
ED visits
No
30d readmit
MedicationsPharmacy
- Tiotropium inhaler daily
- Albuterol PRN
- Metformin 1000mg BID
- Empagliflozin 10mg daily
Open care gapsQuality
- Annual wellness visitOpen
- Medication reconciliationOpen
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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