PST: The Provider Selection Tool

Oxford Health Plans, Inc. is a managed care organization whose goal is to deliver cost-effective, high-quality health care. Oxford’s product lines include traditional health maintenance organizations, point-of service plans, third-party administration of employer funded benefit plans, Medicare and Medicaid plans, and dental plans. A Member’s satisfaction with their Primary Care Physician (PCP) is important to their relationship with Oxford. People traditionally choose a doctor (i.e., a PCP) by asking family and friends for recommendations. While this will most likely remain the most trusted method for choosing a Physician, Oxford desires to act as an added supportive resource for helping Members make a wise decision. Oxford aims to complement and also confirm the advice of family and friends. Because of this, Oxford has developed the Provider Selection Tool (PST). PST is a case based reasoning tool, deployed within Oxford and on the World Wide Web, that elicits search criteria fro...

• Type: Conference
• Year: 1997
• Where: AAAI
• Authors: Howard Marmorstein, Jayesh Ghia, Sandeep Sathaye, Akshay Gupta, Eva Baron-Vartian
• Keywords: AAAI 1997, Intelligent Agents, Oxford, Oxford Health Plans, Oxford’s Product Lines