Examples with Provider org.mitre.synthea.world.agents.Provider used on opensource projects

Example 1 with Provider

use of org.mitre.synthea.world.agents.Provider in project synthea by synthetichealth.

the class LossOfCareHealthRecordTest method personRunsOutOfIncomeDueToMonthlyPremium.

@Test
public void personRunsOutOfIncomeDueToMonthlyPremium() {
    Person person = new Person(0L);
    person.attributes.put(Person.BIRTHDATE, time);
    person.attributes.put(Person.GENDER, "F");
    person.coverage.setPayerAtTime(time, testPrivatePayer);
    person.setProvider(EncounterType.WELLNESS, new Provider());
    Code code = new Code("SNOMED-CT", "705129", "Fake Code");
    // Set person's income to be $1 lower than the cost of 8 monthly premiums.
    person.attributes.put(Person.INCOME, (int) (testPrivatePayer.getMonthlyPremium() * 8) - 1);
    // Pay monthly premium 8 times.
    long oneMonth = Utilities.convertTime("years", 1) / 12;
    long currTime = time;
    HealthInsuranceModule healthInsuranceModule = new HealthInsuranceModule();
    for (int i = 0; i < 8; i++) {
        currTime += oneMonth;
        healthInsuranceModule.process(person, currTime);
    }
    // Person should now have no insurance.
    assertTrue(person.coverage.getPayerAtTime(currTime).equals(Payer.noInsurance));
    // Encounter is uncovered and unaffordable.
    Encounter uncoveredEncounter3 = person.encounterStart(time + oneMonth * 7, EncounterType.WELLNESS);
    uncoveredEncounter3.codes.add(code);
    uncoveredEncounter3.provider = new Provider();
    person.record.encounterEnd(time + oneMonth * 7, EncounterType.WELLNESS);
    // Person should have this encounter in the uncoveredHealthRecord.
    assertFalse(person.defaultRecord.encounters.contains(uncoveredEncounter3));
    assertTrue(person.lossOfCareRecord.encounters.contains(uncoveredEncounter3));
}

Example 2 with Provider

use of org.mitre.synthea.world.agents.Provider in project synthea by synthetichealth.

the class LossOfCareHealthRecordTest method setup.

/**
 * Setup for HealthRecord Tests.
 */
@Before
public void setup() throws Exception {
    // Clear any Payers that may have already been statically loaded.
    Payer.clear();
    TestHelper.loadTestProperties();
    String testState = Config.get("test_state.default", "Massachusetts");
    Config.set("generate.payers.insurance_companies.default_file", "generic/payers/test_payers.csv");
    Config.set("generate.payers.loss_of_care", "true");
    Config.set("lifecycle.death_by_loss_of_care", "true");
    // Load in the .csv list of Payers for MA.
    Payer.loadPayers(new Location(testState, null));
    // Load test payers.
    testPrivatePayer = Payer.getPrivatePayers().get(0);
    // Parse out testPrivatePayer's Copay.
    Person person = new Person(0L);
    person.setProvider(EncounterType.WELLNESS, new Provider());
    person.attributes.put(Person.INCOME, 1);
    Encounter encounter = person.encounterStart(time, EncounterType.WELLNESS);
    testPrivatePayerCopay = testPrivatePayer.determineCopay(encounter);
    // Utilities.convertCalendarYearsToTime(1900);
    time = 0L;
}

Example 3 with Provider

use of org.mitre.synthea.world.agents.Provider in project synthea by synthetichealth.

the class LossOfCareHealthRecordTest method personRunsOutOfIncomeWithNoInsurance.

@Test
public void personRunsOutOfIncomeWithNoInsurance() {
    Person person = new Person(0L);
    person.coverage.setPayerAtTime(time, Payer.noInsurance);
    person.setProvider(EncounterType.WELLNESS, new Provider());
    Code code = new Code("SNOMED-CT", "705129", "Fake Code");
    // Set person's income to be $1 lower than the cost of encounter
    person.attributes.put(Person.INCOME, (int) defaultEncounterCost - 1);
    // First encounter is uncovered but affordable.
    Encounter coveredEncounter = person.encounterStart(time, EncounterType.WELLNESS);
    coveredEncounter.codes.add(code);
    coveredEncounter.provider = new Provider();
    person.record.encounterEnd(time, EncounterType.WELLNESS);
    // Person is in debt $1. They should not recieve any more care.
    assertTrue(person.defaultRecord.encounters.contains(coveredEncounter));
    assertFalse(person.lossOfCareRecord.encounters.contains(coveredEncounter));
    // Second encounter is uncovered and not affordable.
    Encounter uncoveredEncounter = person.encounterStart(time, EncounterType.WELLNESS);
    uncoveredEncounter.codes.add(code);
    uncoveredEncounter.provider = new Provider();
    person.record.encounterEnd(time, EncounterType.WELLNESS);
    // Person should have this encounter in the uncoveredHealthRecord.
    assertFalse(person.defaultRecord.encounters.contains(uncoveredEncounter));
    assertTrue(person.lossOfCareRecord.encounters.contains(uncoveredEncounter));
}

Example 4 with Provider

use of org.mitre.synthea.world.agents.Provider in project synthea by synthetichealth.

the class LossOfCareHealthRecordTest method personRunsOutOfIncomeDueToCopay.

@Test
public void personRunsOutOfIncomeDueToCopay() {
    Person person = new Person(0L);
    person.coverage.setPayerAtTime(time, testPrivatePayer);
    person.setProvider(EncounterType.WELLNESS, new Provider());
    Code code = new Code("SNOMED-CT", "705129", "Fake Code");
    // Determine income
    double encCost = Config.getAsDouble("generate.costs.default_encounter_cost");
    double coinsurance = 1 - testPrivatePayer.getCoinsurance();
    double deductible = testPrivatePayer.getDeductible();
    double income = deductible + (2 * (encCost - testPrivatePayerCopay) * coinsurance) + (2 * testPrivatePayerCopay) - 1;
    // Set person's income to be $1 lower than the cost of 2 visits.
    person.attributes.put(Person.INCOME, (int) income);
    // First encounter is covered and copay is affordable.
    Encounter coveredEncounter1 = person.encounterStart(time, EncounterType.WELLNESS);
    coveredEncounter1.codes.add(code);
    coveredEncounter1.provider = new Provider();
    person.record.encounterEnd(time, EncounterType.WELLNESS);
    // Person has enough income for one more copay.
    assertTrue(person.defaultRecord.encounters.contains(coveredEncounter1));
    assertFalse(person.lossOfCareRecord.encounters.contains(coveredEncounter1));
    // Second encounter is covered and copay is affordable.
    Encounter coveredEncounter2 = person.encounterStart(time, EncounterType.WELLNESS);
    coveredEncounter2.codes.add(code);
    coveredEncounter2.provider = new Provider();
    person.record.encounterEnd(time, EncounterType.WELLNESS);
    // Person is in debt $1. They should switch to no insurance not recieve any further care.
    assertTrue(person.defaultRecord.encounters.contains(coveredEncounter2));
    assertFalse(person.lossOfCareRecord.encounters.contains(coveredEncounter2));
    // Third encounter is uncovered and unaffordable.
    Encounter uncoveredEncounter3 = person.encounterStart(time, EncounterType.WELLNESS);
    uncoveredEncounter3.codes.add(code);
    uncoveredEncounter3.provider = new Provider();
    person.record.encounterEnd(time, EncounterType.WELLNESS);
    // Person should have this record in the uncoveredHealthRecord.
    assertFalse(person.defaultRecord.encounters.contains(uncoveredEncounter3));
    assertTrue(person.lossOfCareRecord.encounters.contains(uncoveredEncounter3));
    // Person should now have no insurance.
    assertTrue(person.coverage.getPayerAtTime(time).equals(Payer.noInsurance));
}

Example 5 with Provider

use of org.mitre.synthea.world.agents.Provider in project synthea by synthetichealth.

the class ProviderFinderTest method testRandom.

@Test
public void testRandom() {
    ProviderFinderRandom finder = new ProviderFinderRandom();
    Provider provider = finder.find(providers, person, EncounterType.WELLNESS, 0L);
    Assert.assertNotNull(provider);
}