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1.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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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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公开(公告)号：US20090150182A1
公开(公告)日：2009-06-11
申请号：US12001176
申请日：2007-12-10
申请人： Solomon Zak , Rudra Duddala , Sashidar Kokku , Poladas James , Sireesha Parvatham , Parvathy Sashidhar
发明人： Solomon Zak , Rudra Duddala , Sashidar Kokku , Poladas James , Sireesha Parvatham , Parvathy Sashidhar
CPC分类号： G06Q50/22 , G06F19/00 , G06Q50/24 , G16H10/60 , G16H40/20 , G16H50/20 , Y02A90/22 , Y02A90/24 , Y02A90/26
摘要： Disclosed herein is a computer implemented method and system that addresses the need for an online disease based and case based management of medical care. An online disease and case management system is provided. The information of the patients is retrieved from multiple information sources. The patient information is used to identify one of a disease condition in a patient population and a patient with a disease condition. Further, the patients are enrolled. The enrolled patients are educated about the disease condition for self monitoring of the disease condition. The status of the self monitored disease condition is recorded in a disease log. Visits to a provider are scheduled for medical treatment of the enrolled patients. The enrolled patients are monitored for medical progress based on the medical treatment provided. Further, the disease and case management of medical care are evaluated and reported based on clinical and financial outcomes.
摘要翻译： 本文公开了一种计算机实现的方法和系统，其满足了在线疾病和基于病例的医疗护理管理的需要。 提供在线疾病和病例管理系统。 从多个信息来源检索患者的信息。 患者信息用于识别患者群体中的疾病状况和具有疾病状况的患者之一。 此外，患者入组。 报名患者接受疾病状况的自我监测。 自我监测疾病状况的状况记录在疾病日志中。 定期到提供者进行接受治疗的患者。 根据提供的医疗情况，对入组患者进行医疗进展监测。 此外，根据临床和财务结果评估和报告医疗保健的疾病和病例管理。
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公开(公告)号：US07953609B2
公开(公告)日：2011-05-31
申请号：US12001176
申请日：2007-12-10
申请人： Solomon Zak , Rudra Duddala , Sashidar Kokku , Poladas James , Sireesha Parvatham , Parvathy Sashidhar
发明人： Solomon Zak , Rudra Duddala , Sashidar Kokku , Poladas James , Sireesha Parvatham , Parvathy Sashidhar
CPC分类号： G06Q50/22 , G06F19/00 , G06Q50/24 , G16H10/60 , G16H40/20 , G16H50/20 , Y02A90/22 , Y02A90/24 , Y02A90/26
摘要： Disclosed herein is a computer implemented method and system that addresses the need for an online disease based and case based management of medical care. An online disease and case management system is provided. The information of the patients is retrieved from multiple information sources. The patient information is used to identify one of a disease condition in a patient population and a patient with a disease condition. Further, the patients are enrolled. The enrolled patients are educated about the disease condition for self monitoring of the disease condition. The status of the self monitored disease condition is recorded in a disease log. Visits to a provider are scheduled for medical treatment of the enrolled patients. The enrolled patients are monitored for medical progress based on the medical treatment provided. Further, the disease and case management of medical care are evaluated and reported based on clinical and financial outcomes.
摘要翻译： 本文公开了一种计算机实现的方法和系统，其满足了在线疾病和基于病例的医疗护理管理的需要。 提供在线疾病和病例管理系统。 从多个信息来源检索患者的信息。 患者信息用于识别患者群体中的疾病状况和具有疾病状况的患者之一。 此外，患者入组。 报名患者接受疾病状况的自我监测。 自我监测疾病状况的状况记录在疾病日志中。 定期到提供者进行接受治疗的患者。 根据提供的医疗情况，对入组患者进行医疗进展监测。 此外，根据临床和财务结果评估和报告医疗保健的疾病和病例管理。
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公开(公告)号：US20090099865A1
公开(公告)日：2009-04-16
申请号：US11973754
申请日：2007-10-10
申请人： Solomon J. Zak , Rudra Duddala , Craig Johnson , Poladas James
发明人： Solomon J. Zak , Rudra Duddala , Craig Johnson , Poladas James
IPC分类号： G06Q50/00
摘要： Disclosed herein is a computer implemented method and system that addresses the need for utilization analysis and performance evaluation of providers in a health care organization. The health care data comprising health plan information of consumers, providers, claims, and hospitals is collected, translated, and organized in a structured relational format and stored in standard tables. The organized health care data is analyzed by calculating consumer statistics for a health plan using the health plan information of the consumers. The claims of the consumers are processed to classify the claims based on age, gender, disease, and comorbid conditions of the consumers. A plurality of costs of the health care organization is determined using one or more of the health plan information. The performance of the providers is assessed using the determined plurality of costs. The providers comprising primary care physicians are analyzed based on entire population of the associated consumers.
摘要翻译： 这里披露了一种计算机实现的方法和系统，其解决了在医疗保健组织中提供者的利用分析和性能评估的需要。 包括消费者，提供者，索赔和医院的健康计划信息的医疗保健数据以结构化关系格式收集，翻译和组织，并存储在标准表中。 通过使用消费者的健康计划信息计算卫生计划的消费者统计数据来分析有组织的保健数据。 对消费者的要求进行处理，根据消费者的年龄，性别，疾病和共病情况对索赔进行分类。 使用一个或多个健康计划信息来确定医疗机构的多个费用。 使用确定的多个成本来评估提供商的表现。 基于相关消费者的整体人群分析包括初级保健医师在内的提供者。
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公开(公告)号：US07987102B2
公开(公告)日：2011-07-26
申请号：US11973754
申请日：2007-10-10
申请人： Solomon J. Zak , Rudra Duddala , Craig Johnson , Poladas James
发明人： Solomon J. Zak , Rudra Duddala , Craig Johnson , Poladas James
摘要： Disclosed herein is a computer implemented method and system that addresses the need for utilization analysis and performance evaluation of providers in a health care organization. The health care data comprising health plan information of consumers, providers, claims, and hospitals is collected, translated, and organized in a structured relational format and stored in standard tables. The organized health care data is analyzed by calculating consumer statistics for a health plan using the health plan information of the consumers. The claims of the consumers are processed to classify the claims based on age, gender, disease, and comorbid conditions of the consumers. A plurality of costs of the health care organization is determined using one or more of the health plan information. The performance of the providers is assessed using the determined plurality of costs. The providers comprising primary care physicians are analyzed based on entire population of the associated consumers.
摘要翻译： 这里披露了一种计算机实现的方法和系统，其解决了在医疗保健组织中提供者的利用分析和性能评估的需要。 包括消费者，提供者，索赔和医院的健康计划信息的医疗保健数据以结构化关系格式收集，翻译和组织，并存储在标准表中。 通过使用消费者的健康计划信息计算卫生计划的消费者统计数据来分析有组织的保健数据。 对消费者的要求进行处理，根据消费者的年龄，性别，疾病和共病情况对索赔进行分类。 使用一个或多个健康计划信息来确定医疗机构的多个费用。 使用确定的多个成本来评估提供商的表现。 基于相关消费者的整体人群分析包括初级保健医师在内的提供者。
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公开(公告)号：US08108230B2
公开(公告)日：2012-01-31
申请号：US13044547
申请日：2011-03-10
申请人： Ravi Ika , Rudra Duddala , Madu Narahari , Poladas James , Venkat Balagani , Murali Narasani , Sreekanth Belpu , Sudheer Bonala , Sasidhar Parvatham , Chandrasekar Jayaraman , Karthik Sridhar
发明人： Ravi Ika , Rudra Duddala , Madu Narahari , Poladas James , Venkat Balagani , Murali Narasani , Sreekanth Belpu , Sudheer Bonala , 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.
摘要翻译： 本文公开的计算机实现的方法和系统使用多个门户自动化健康计划组织的业务流程。 门户网站包括销售门户，会员门户，雇主门户，管理门户和提供商门户。 使用销售门户列出健康计划。 销售代理商向使用销售门户的消费者提出至少一项健康计划。 行政门户为拟议的健康计划生成保险报价。 消费者使用会员门户和雇主门户之一注册拟议的健康计划。 消费者根据使用行政门户的保险报价，为已登记的健康计划收费。 使用会员门户或雇主门户，消费者在线支付注册的健康计划。 然后，管理门户为销售代理生成注册的健康计划的佣金。
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公开(公告)号：US20090076858A1
公开(公告)日：2009-03-19
申请号：US11901526
申请日：2007-09-18
申请人： Ravi Ika , Rudra Duddala , Madu Narahari , Poladas James , Vankat Balaganl , Murall Narasani , Sreekanth Belpu , Sudheer Bonala , Sasidhar Parvatham , Chandrasakar Jayaraman , Karthik Sridhar
发明人： Ravi Ika , Rudra Duddala , Madu Narahari , Poladas James , Vankat Balaganl , Murall Narasani , Sreekanth Belpu , Sudheer Bonala , Sasidhar Parvatham , Chandrasakar Jayaraman , Karthik Sridhar
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.
摘要翻译： 本文公开的计算机实现的方法和系统使用多个门户自动化健康计划组织的业务流程。 门户网站包括销售门户，会员门户，雇主门户，管理门户和提供商门户。 使用销售门户列出健康计划。 销售代理商向使用销售门户的消费者提出至少一项健康计划。 行政门户为拟议的健康计划生成保险报价。 消费者使用会员门户和雇主门户之一注册拟议的健康计划。 消费者根据使用行政门户的保险报价，为已登记的健康计划收费。 使用会员门户或雇主门户，消费者在线支付注册的健康计划。 然后，管理门户为销售代理生成注册的健康计划的佣金。
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公开(公告)号：US08548832B2
公开(公告)日：2013-10-01
申请号：US13334056
申请日：2011-12-22
申请人： Ravi Ika , Rudra Duddala , Madu Narahari , Poladas James , Venkat Balagani , Murali Narasani , Sreekanth Belpu , Sudheer Bonala , Sasidhar Parvatham , Chandrasekar Jayaraman , Karthik Sridhar
发明人： Ravi Ika , Rudra Duddala , Madu Narahari , Poladas James , Venkat Balagani , Murali Narasani , Sreekanth Belpu , Sudheer Bonala , 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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公开(公告)号：US20120095786A1
公开(公告)日：2012-04-19
申请号：US13334056
申请日：2011-12-22
申请人： Ravi Ika , Rudra Duddala , Madu Narahari , Poladas James , Venkat Balagani , Murali Narasani , Sreekanth Belpu , Sudheer Bonala , Sasidhar Parvatham , Chandrasekar Jayaraman , Karthik Sridhar
发明人： Ravi Ika , Rudra Duddala , Madu Narahari , Poladas James , Venkat Balagani , Murali Narasani , Sreekanth Belpu , Sudheer Bonala , Sasidhar Parvatham , Chandrasekar Jayaraman , Karthik Sridhar
IPC分类号： G06Q40/08
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.
摘要翻译： 本文公开的计算机实现的方法和系统使用多个门户自动化健康计划组织的业务流程。 门户网站包括销售门户，会员门户，雇主门户，管理门户和提供商门户。 使用销售门户列出健康计划。 销售代理商向使用销售门户的消费者提出至少一项健康计划。 行政门户为拟议的健康计划生成保险报价。 消费者使用会员门户和雇主门户之一注册拟议的健康计划。 消费者根据使用行政门户的保险报价，为已登记的健康计划收费。 使用会员门户或雇主门户，消费者在线支付注册的健康计划。 然后，管理门户为销售代理生成注册的健康计划的佣金。
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