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    • 9. 发明授权
    • Systems, computer programs, and methods for controlling costs of a healthcare practice
    • 用于控制医疗保健实践成本的系统,计算机程序和方法
    • US08712796B2
    • 2014-04-29
    • US13955026
    • 2013-07-31
    • Terrance MooreCharles Lewis
    • Terrance MooreCharles Lewis
    • G06Q50/00
    • G06Q50/22G06F19/00G06F19/328G06Q10/04G06Q10/0637G06Q10/10G06Q20/10G06Q40/00G06Q40/08G06Q50/24G16H40/20
    • Systems, computer programs, and methods for controlling ancillary medical costs of a healthcare practice and/or insurance network with a plurality of physicians participating therein, are provided. According to an example method, the steps include identifying one or more a plurality of physicians having ancillary medical costs that exceed a certain level to thereby identify the physician or physicians for behavior modification with respect to ancillary medical costs. The method can also include generating information identifying recommended alternative ancillary medical procedures to modify behavior of a physician or physicians with respect to management of the ancillary medical costs. The method can also determining whether the ancillary medical costs of the physician or physicians have decreased to a preselected/baseline level, and distributing a percentage of a savings attributed to the modified ancillary medical cost management behavior when the ancillary medical costs have decreased to or below the preselected/baseline level.
    • 提供了用于控制具有参与其中的多位医生的医疗保健实践和/或保险网络的辅助医疗费用的系统,计算机程序和方法。 根据示例性方法,所述步骤包括识别具有超过一定水平的辅助医疗费用的多个医生中的一个或多个,从而识别医生或医师关于辅助医疗费用的行为修改。 该方法还可以包括产生识别推荐的替代辅助医疗程序的信息,以修改医师或医师关于辅助医疗费用的管理的行为。 该方法还可以确定医师或医生的辅助医疗费用是否已经降低到预选/基线水平,并且当辅助医疗费用已经降低到或低于其他时间时,分配归因于修改的辅助医疗成本管理行为的一部分储蓄的百分比 预选/基线水平。
    • 10. 发明申请
    • Computer Implemented Method and Computer Program Product for Collecting Fees for an Insurance Network
    • 计算机实施方法和计算机程序产品,用于收取保险费用
    • US20110213624A1
    • 2011-09-01
    • US13103761
    • 2011-05-09
    • Terrance MooreCharles Lewis
    • Terrance MooreCharles Lewis
    • G06Q40/00G06Q50/00
    • G06Q50/22G06F19/328G06Q10/04G06Q10/0637G06Q10/10G06Q20/10G06Q40/00G06Q40/08G06Q50/24G16H40/20
    • Computer implemented methods and computer program products for reducing the ancillary medical costs of an insurance network with a plurality of physicians participating therein. Computer implemented methods can include, for example, establishing an communication network between a healthcare consultation group and the insurance network, and accessing data associated with the plurality of physicians via the communication network. Embodiments can further include, for example, identifying, in a computer process, physicians who have engaged in ancillary medical procedures that are not preferred by the insurance network, and modifying behaviors of these physicians to reduce the ancillary medical costs of the insurance network. Embodiments can also include, for example, determining, in a computer process, whether the ancillary medical costs of the insurance network have reached at least a preselected level, and distributing a predetermined percentage of saving attributed to reducing ancillary medical costs of the insurance network to the healthcare consultation group.
    • 计算机实施的方法和计算机程序产品,用于降低与参与其中的多位医生的保险网络的辅助医疗费用。 计算机实现的方法可以包括例如在医疗咨询组和保险网络之间建立通信网络,以及经由通信网络访问与多个医师相关联的数据。 实施例还可以包括例如在计算机程序中识别从事辅助医疗程序的保险网络不优选的医师,以及修改这些医师的行为以减少保险网络的辅助医疗费用。 实施例还可以包括例如在计算机程序中确定保险网络的辅助医疗费用是否达到了至少预选的级别,并将归因于将保险网络的辅助医疗费用减少的预定百分比分配给 医疗咨询组。