Plan Justification Tool
Description
(Marketplace) Identify trends/patterns within plan certification justification templates, containing free-form text data through use of natural language processing (NLP) and classification techniques.
Detailed example
Improve efficiency of the plan certification review process - by automating the initial justification review along with a rendering of a verdict and then looping the human in for the final decision.
AI / analytics pattern
Classical/Predictive Machine Learning: Models trained on data to make predictions or classifications based on identified patterns or relationships.
Automation level / stage
a) Pre-deployment – The use case is in a development or acquisition status.
Expected benefit
Build a supervised ML model using historical justification data and associated plan certification outcomes that can be recommended to CMS to build towards a more efficient review process.
Controls / human review
ATO: Not reported; PIA: Not published