发明申请
US20090281826A1 Process, Knowledge, And Intelligence Management Through Integrated Medical Management System For Better Health Outcomes, Utilization Cost Reduction and Provider Reward Programs 有权
流程,知识和情报管理,通过综合医疗管理系统,实现更好的健康成果,利用成本降低和提供者奖励计划

Process, Knowledge, And Intelligence Management Through Integrated Medical Management System For Better Health Outcomes, Utilization Cost Reduction and Provider Reward Programs
摘要:
Disclosed herein is a computer implemented method and system for rewarding health care providers using an integrated medical management system. A web application analyzes performance of the health care providers. The web application acquires information from integrated medical management system. The acquired information includes information of health care quality improvement analysis, disease and case based management, utilization analytics, physician profiling, authorizations management, lab and imaging information, and health risk assessment information. The web application determines performance indices for the health care providers based on the acquired information. The performance indices include a quality index, an economic index, and a relative value unit index of the health care providers. The web application analyzes the performance of the health care providers based on the performance indices. The analysis includes identifying health care providers eligible for a reward. The health care providers are then rewarded based on the analyzed performance.
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