Invention Grant
US07958002B2 Economic model for measuring the cost and value of a particular health insurance plan 有权
衡量特定健康保险计划成本和价值的经济模式

  • Patent Title: Economic model for measuring the cost and value of a particular health insurance plan
  • Patent Title (中): 衡量特定健康保险计划成本和价值的经济模式
  • Application No.: US12607838
    Application Date: 2009-10-28
  • Publication No.: US07958002B2
    Publication Date: 2011-06-07
  • Inventor: James Bost
  • Applicant: James Bost
  • Applicant Address: US DC Washington
  • Assignee: NCQA
  • Current Assignee: NCQA
  • Current Assignee Address: US DC Washington
  • Agency: Hogan Lovells US LLP
  • Main IPC: G06Q50/00
  • IPC: G06Q50/00 G06F17/30
Economic model for measuring the cost and value of a particular health insurance plan
Abstract:
The present invention provides a system and method for measuring the relative economic benefits from services offered by health care plans. The present invention quantifies value of health care quality by indicating an economic return on the investment in health care quality, enabling organizations and businesses to view health care quality in a familiar paradigm that extends health plan differentiation beyond premium and benefits. Businesses may employ the present invention to compare different health care plans or classes of plans, such as accredited versus non-accredited plans. Specifically, a particular plan or class of plans may provide improved monitoring, treatment and control of various medical conditions, and the present invention quantifies the economic benefits to employers from the improved health care for employees. In one embodiment, the present invention looks to a set of specific medical conditions and is based on three key steps. First, the present invention identifies the overall level of employees at the organization affected by these conditions. Second, the present invention uses the reduction in absenteeism and low productivity days made possible by improved monitoring and control of the medical conditions. Third, the present invention calculates a monetary valuation to the firm of the reduction in absenteeism and low productivity days based on the firm's average revenue per employee, average daily wage, and other parameters.
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