Restraining Trend in Plan Payments: Disease Management of Six Conditions May be the Key
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Employers can control costs through effective disease management programs aimed at chronic conditions. Large employers can significantly reduce overall medical plan expenses by carefully selecting and implementing effective disease management programs. This article details how six chronic conditions, such as asthma and diabetes, drive nearly half of large employers' plan payments, but less than 5% of plan participants have significant expenses for those six conditions. In addition, these 5% of employees account for more than one quarter of total plan expenses. It appears that disease management could affect more than one quarter of total plan expenses. By identifying the conditions that are driving the greatest costs, employers can offer disease management programs to affected employees, which will not only drive down costs but might also improve patient care outcomes.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it