10 Fairness
Sospital is a leading (fictional) health insurance company in the United States. Imagine that you are the lead data scientist collaborating with a problem owner in charge of transforming the company’s care management programs. Care management is the set of services that help patients with chronic or complex conditions manage their health and have better clinical outcomes. Extra care management is administered by a dedicated team composed of physicians, other clinicians, and caregivers who come up with and execute a coordinated plan that emphasizes preventative health actions. The problem owner at Sospital has made a lot of progress in implementing software-based solutions for the care coordination piece and has changed the culture to support them, but is still struggling with the patient intake process. The main struggle is in identifying the members of health plans that need extra care management. This is a mostly manual process right now that the problem owner would like to automate.