Process, knowledge, and intelligence management through integrated medical management system for better health outcomes, utilization cost reduction and provider reward programs

US7996241B2 · kind B2 · utility

Inventors

• Solomon Zak · St. Louis Park, US
• Rudra Duddala · Lowell, US
• Craig Johnson · North Oaks, US
• Poladas James · Worcester, US
• Madusudhana Narahari · Northbridge, US
• Bala Ankarfa · Lowell, US
• Streesha Parvatham · Lowell, US
• Sashidhar Kokku · Lowell, US

Key dates

• Filing date: May 12, 2008
• Grant date: Aug 9, 2011
• Expiry date: Aug 31, 2029

Classification

• Technology area (CPC G): Physics
• CPC primary: G16Z99/00
• WIPO field: IT methods for management
• WIPO sector: Electrical engineering

Abstract

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.