Heading Off ER 'Frequent Fliers'

At Blue Cross and Blue Shield of North Carolina, Daryl Wansink uses predictive modeling to help curb unnecessary visits to emergency rooms.
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10/15/2012 |  1
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Lessons worth teaching
  • 10/16/2012 2:20:24 PM
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I applaud insurers like BCBSNC that are using predictive modeling to identify members abusing medical services, like ER care, and launching campaigns to better educate them about their less costly -- but no less effective -- options. I've been to the ER a number of times, only once for myself and the rest for my kids (most recently to have one of my daughter's forehead stitched back together after she took an elbow to the head during a basketball game) and I always find myself wondering at my fellow patrons, "Are you really so ill as to require an ER visit?" They may be, but I still wonder.