OMB Individually Reported

Health Plan Management System - Complaint Tracking Analysis

Low riskExact public inventory row

Description

Support the analysis of MA and Part D beneficiary complaints data.

Detailed example

Complex analysis of a large set of complaint data to identify trends in order to facilitate casework activity.

AI / analytics pattern

Natural Language Processing: AI that processes, interprets, and shares information in human language.

Automation level / stage

a) Pre-deployment – The use case is in a development or acquisition status.

Expected benefit

Enhance CMS' understanding of beneficiary issues with MA and Part D plans.

Controls / human review

ATO: Not reported; PIA: Not published