公开(公告)号：US08473311B2

公开(公告)日：2013-06-25

申请号：US10912133

申请日：2004-08-06

申请人： Kimberly A. McGuigan ,  Debra A. Maldonato ,  Qingshan Qian ,  Jianying Yao

发明人： Kimberly A. McGuigan ,  Debra A. Maldonato ,  Qingshan Qian ,  Jianying Yao

IPC分类号： G06Q50/00

CPC分类号： G06F19/3431 ,  G06F19/00 ,  G06Q50/22 ,  G06Q50/24 ,  G16H50/30

摘要： A healthcare risk index is generated using a patient or individual's medical claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, one example of such a method involves first generating a medical condition score using the individual's medical information for each medical condition possessed by the individual. From there, each medical condition score is modified according to a regression coefficient, to result in one or more modified medical condition scores. Finally, the risk index may be generated by summing the medical condition scores. This risk index is indicative of at least one of the individual's medical costs, chronic medical conditions, and variation in medical costs.

摘要翻译： 使用患者或个人的医疗索赔产生医疗风险指数。 该指数可用于解释和预测药房相关成本的变化和医疗保健成本或利用总额的变化。 特别地，这种方法的一个示例涉及首先使用个人对于个人拥有的每个医疗状况的医疗信息产生医疗条件评分。 从那里，根据回归系数修改每个医疗状况得分，以得到一个或多个修改的医疗状况得分。 最后，可以通过对医疗状况得分进行求和来产生风险指数。 该风险指数表示个人的医疗费用，慢性医疗条件和医疗费用变化中的至少一个。

公开(公告)号：US20050091084A1

公开(公告)日：2005-04-28

申请号：US10912133

申请日：2004-08-06

申请人： Kimberly McGuigan ,  Debra Maldonato ,  Qingshan Qian ,  Jianying Yao

发明人： Kimberly McGuigan ,  Debra Maldonato ,  Qingshan Qian ,  Jianying Yao

IPC分类号： G06F17/60

CPC分类号： G06F19/3431 ,  G06F19/00 ,  G06Q50/22 ,  G06Q50/24 ,  G16H50/30

摘要： A healthcare risk index is generated using a patient or individual's medical claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, one example of such a method involves first generating a medical condition score using the individual's medical information for each medical condition possessed by the individual. From there, each medical condition score is modified according to a regression coefficient, to result in one or more modified medical condition scores. Finally, the risk index may be generated by summing the medical condition scores. This risk index is indicative of at least one of the individual's medical costs, chronic medical conditions, and variation in medical costs.

摘要翻译： 使用患者或个人的医疗索赔产生医疗风险指数。 该指数可用于解释和预测药房相关成本的变化和医疗保健成本或利用总额的变化。 特别地，这种方法的一个示例涉及首先使用个人的医疗信息生成个体所拥有的每个医疗状况的医疗条件评分。 从那里，根据回归系数修改每个医疗状况得分，以得到一个或多个修改的医疗状况得分。 最后，可以通过对医疗状况得分进行求和来产生风险指数。 该风险指数表示个人的医疗费用，慢性医疗条件和医疗费用变化中的至少一个。