Invention Grant
- Patent Title: System and method for administering health care cost reduction
- Patent Title (中): 管理医疗费用降低的制度和方法
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Application No.: US10813968Application Date: 2004-03-31
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Publication No.: US07693728B2Publication Date: 2010-04-06
- Inventor: Howard R. Underwood , Walter Kastenschmidt
- Applicant: Howard R. Underwood , Walter Kastenschmidt
- Applicant Address: US CT Hartford
- Assignee: Aetna Inc.
- Current Assignee: Aetna Inc.
- Current Assignee Address: US CT Hartford
- Agency: Leydig, Voit & Mayer, Ltd.
- Main IPC: G06Q50/00
- IPC: G06Q50/00 ; A61B5/00

Abstract:
A system and method for the efficient administration of health care plans, particularly as to the reduction and/or elimination of avoidable medical costs for select individuals who participate in the plan, is disclosed. Existing health care data is processed to determine an indication as to the relative desirability of an intervention in a plan participant's health care regimen. The data is also processed to determine the status of one or more flags, each of which potentially indicates the relative desirability of an intervention in a plan participant's health care regimen. A predictive model is used to determine the status of a flag relating to the likelihood of an insurance plan participant making a disability claim within a certain period of time. The information relating to desirability of an intervention in a plan participant's health care regimen, as well as a plan participant's medical information and claim history, is presented to case managers and/or health care providers in a user-friendly format.
Public/Granted literature
- US20050222867A1 System and method for administering health care cost reduction Public/Granted day:2005-10-06
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