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公开(公告)号：US08108229B2
公开(公告)日：2012-01-31
申请号：US11901526
申请日：2007-09-18
申请人： Ravi Ika , Rudra Duddala , Madusudhana Narahari , Poladas D James , Venkat Balagani , Murali K Narasani , Sudheer Bonala , Sreekanth Belpu , Sasidhar Parvatham , Chandrasekar Jayaraman , Karthik Sridhar
发明人： Ravi Ika , Rudra Duddala , Madusudhana Narahari , Poladas D James , Venkat Balagani , Murali K Narasani , Sudheer Bonala , Sreekanth Belpu , Sasidhar Parvatham , Chandrasekar Jayaraman , Karthik Sridhar
IPC分类号： G06Q40/00
摘要： The computer implemented method and system disclosed herein automates business processes of a health plan organization using a plurality of portals. The portals comprise a sales portal, a member portal, an employer portal, an administration portal, and a provider portal. Health plans are listed using the sales portal. A sales agent proposes at least one of the health plans to a consumer using the sales portal. The administration portal generates insurance quotes for the proposed health plans. The consumer enrolls for the proposed health plans using one of the member portal and the employer portal. The consumer is billed for the enrolled health plans based on the insurance quotes using the administration portal. The consumer pays a premium amount online for the enrolled health plans using the member portal or the employer portal. The administration portal then generates commissions for the sales agent for the enrolled health plans.
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2.发明授权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，知识和智力管理，通过综合医疗管理系统，实现更好的健康结果，降低利用成本，提供奖励计划公开(公告)号：US07996241B2
公开(公告)日：2011-08-09
申请号：US12118768
申请日：2008-05-12
申请人： Solomon Zak , Rudra Duddala , Craig Johnson , Poladas James , Madusudhana Narahari , Bala Ankarfa , Streesha Parvatham , Sashidhar Kokku
发明人： Solomon Zak , Rudra Duddala , Craig Johnson , Poladas James , Madusudhana Narahari , Bala Ankarfa , Streesha Parvatham , Sashidhar Kokku
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.
摘要翻译： 本文公开了一种计算机实现的方法和系统，用于使用综合医疗管理系统来奖励医疗保健提供者。 Web应用程序分析医疗保健提供者的绩效。 网络应用程序从综合医疗管理系统获取信息。 所获得的信息包括卫生保健质量改进分析，疾病和病例管理，利用分析，医师剖析，授权管理，实验室和成像信息以及健康风险评估信息的信息。 Web应用程序根据获取的信息确定医疗保健提供者的绩效指标。 绩效指标包括医疗保健提供者的质量指数，经济指标和相对价值单位指数。 网络应用程序根据绩效指标分析医疗保健提供者的绩效。 该分析包括确定有资格获得奖励的医疗保健提供者。 然后，医疗保健提供者将根据分析的表现获得奖励。
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3.发明申请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公开(公告)号：US20090281826A1
公开(公告)日：2009-11-12
申请号：US12118768
申请日：2008-05-12
申请人： Solomon Zak , Rudra Duddata , Craig Johnson , Poladas James , Madusudhana Narahari , Bala Ankarfa , Streesha Parvatham , Sashidhar Kokku
发明人： Solomon Zak , Rudra Duddata , Craig Johnson , Poladas James , Madusudhana Narahari , Bala Ankarfa , Streesha Parvatham , Sashidhar Kokku
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.
摘要翻译： 本文公开了一种计算机实现的方法和系统，用于使用综合医疗管理系统来奖励医疗保健提供者。 Web应用程序分析医疗保健提供者的绩效。 网络应用程序从综合医疗管理系统获取信息。 所获得的信息包括卫生保健质量改进分析，疾病和病例管理，利用分析，医师剖析，授权管理，实验室和成像信息以及健康风险评估信息的信息。 Web应用程序根据获取的信息确定医疗保健提供者的绩效指标。 绩效指标包括医疗保健提供者的质量指数，经济指标和相对价值单位指数。 网络应用程序根据绩效指标分析医疗保健提供者的绩效。 该分析包括确定有资格获得奖励的医疗保健提供者。 然后，医疗保健提供者将根据分析的表现获得奖励。
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