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1. 发明申请

WO2007108814A1 SYSTEM AND METHOD FOR IDENTIFYING AND ANALYZING PATTERNS OR ABERRATIONS IN HEALTHCARE CLAIMS 审中-公开
标题翻译：用于识别和分析医疗保健索赔中的图案或异常的系统和方法
公开(公告)号：WO2007108814A1
公开(公告)日：2007-09-27
申请号：PCT/US2006/017237
申请日：2006-05-04
申请人： INGENIX, INC. , ANDERSON, David , RAWLINGS, Jean , ARTHUR, Jonathan
发明人： ANDERSON, David , RAWLINGS, Jean , ARTHUR, Jonathan
IPC分类号： G06F19/00
CPC分类号： G06F19/328 , G06F19/00 , G06F19/3481 , G06Q10/10 , G06Q40/08 , G06Q50/22 , G16H50/70
摘要： In a system and method for identifying aberrations in treatment pattern for a medical condition, a group of healthcare claim data to be analyzed is identified, wherein the group of healthcare claim data to be analyzed includes claim data representing treatment of the medical condition. Actual treatment pattern data is generated that represents the claim data in the group of healthcare claim data to be analyzed. Defined treatment pattern data for the medical condition is retrieved and compared to the actual treatment pattern data to identify one or more discrepancies therebetween, and corresponding comparison data representing the results of the comparison is generated. The actual treatment pattern data may represent a patient's treatment for the medical condition, and the defined treatment pattern data may represent treatment of a group of other patients for the medical condition. Alternatively, the actual treatment pattern data may represent treatment of multiple patients for the medical condition by a healthcare provider, and the defined treatment pattern data may represent an established procedure for treatment of the medical condition. The system and method may also generate the defined treatment pattern data by identifying and compiling claim data relating to treatment of the medical condition from a database of historical claim data.
摘要翻译：在用于识别用于医疗状况的治疗模式中的畸变的系统和方法中，识别要分析的一组医疗保健要求数据，其中所述待分析的医疗保健要求数据组包括表示医疗状况的治疗的索赔数据。生成实际治疗模式数据，其表示要分析的医疗保健索赔数据组中的索赔数据。检索用于医疗条件的定义的治疗模式数据，并将其与实际治疗模式数据进行比较，以识别其间的一个或多个差异，并生成表示比较结果的相应比较数据。实际治疗模式数据可以表示患者对于医疗状况的治疗，并且所定义的治疗模式数据可以表示治疗一组其他患者的医疗状况。或者，实际治疗模式数据可以表示由医疗保健提供者处理多个患者的医疗状况，并且所定义的治疗模式数据可以表示用于治疗医疗状况的既定程序。系统和方法还可以通过从历史声明数据的数据库中识别和编辑与治疗医疗状况有关的声明数据来生成定义的治疗模式数据。

2. 发明申请

WO2011156692A1 APPARATUSES AND METHODS FOR PARALLEL ANALYTICS 审中-公开
标题翻译：用于并行分析的装置和方法
公开(公告)号：WO2011156692A1
公开(公告)日：2011-12-15
申请号：PCT/US2011/039952
申请日：2011-06-10
申请人： INGENIX, INC. , JACOBS, Michael, N.
发明人： JACOBS, Michael, N.
IPC分类号： G06E1/00
CPC分类号： G06F19/328 , G06F17/30289 , G06F19/00
摘要： Methods, apparatus, and software packages for data processing are disclosed. In some embodiments, the method may include receiving a dataset. In some embodiments, the method may include determining a control number of a processing system. In some embodiments, the control number may include a number of evaluation units within the processing system. The method may include processing the dataset using a plurality of evaluation units. In some embodiments, processing the dataset may include allocating a free evaluation unit to form a busy evaluation unit. Processing the dataset may also include creating a data subdivision for the busy evaluation unit, the data subdivision including a part of the dataset. Processing the dataset may also include evaluating the data subdivision. Processing the dataset may also include releasing the busy evaluation unit. The allocating, creating, evaluating, and releasing may performed concurrently by the plurality of evaluation units.
摘要翻译：公开了用于数据处理的方法，装置和软件包。在一些实施例中，该方法可以包括接收数据集。在一些实施例中，该方法可以包括确定处理系统的控制号。在一些实施例中，控制号可以包括处理系统内的多个评估单元。该方法可以包括使用多个评估单元处理数据集。在一些实施例中，处理数据集可以包括分配免费评估单元以形成繁忙的评估单元。处理数据集还可以包括为繁忙评估单元创建数据细分，数据细分包括数据集的一部分。处理数据集还可以包括评估数据细分。处理数据集还可以包括释放繁忙的评估单元。分配，创建，评估和释放可以由多个评估单元同时执行。

3. 发明申请

WO2010129653A1 SYSTEM AND METHOD FOR RAPID ASSESSMENT OF LAB VALUE DISTRIBUTIONS 审中-公开
标题翻译：用于快速评估实验室价值分布的系统和方法
公开(公告)号：WO2010129653A1
公开(公告)日：2010-11-11
申请号：PCT/US2010/033695
申请日：2010-05-05
申请人： INGENIX, INC. , ANDERSON, David, R.
发明人： ANDERSON, David, R.
IPC分类号： A61B5/00
CPC分类号： G16H10/40 , G06F19/00 , G16H10/60 , G16H50/70
摘要： System and methods for rapid assessment of lab value distributions are provided. In one embodiment, the system includes a data storage device and a server. The data storage device may be configured to store a database comprising one or more records, wherein the records are identified by one or more test codes. The server may receive a medical code, search the database to obtain a first group of records associated with individuals having the medical code, wherein each record of the first group of records is identified by a test code, search the database to obtain a second group of records associated with a control population, wherein each record of the second group of records is identified by the test code, and generate an output comprising a distribution graph on a shared scale from the first and second group of records.
摘要翻译：提供了实验室价值分布快速评估的系统和方法。在一个实施例中，系统包括数据存储设备和服务器。数据存储设备可以被配置为存储包括一个或多个记录的数据库，其中记录由一个或多个测试代码标识。服务器可以接收医疗代码，搜索数据库以获得与具有医疗代码的个人相关联的第一组记录，其中第一组记录的每个记录由测试代码标识，搜索数据库以获得第二组的记录，其中第二组记录的每个记录由测试代码识别，并且从第一和第二组记录生成包括分布图的分布图。

4. 发明申请

WO2010033816A1 APPARATUS, SYSTEM AND METHOD FOR GRAPHICALLY DISPLAYING NATURAL HISTORY OF DISEASE PROGRESSION 审中-公开
标题翻译：用于图形显示疾病进展自然历史的装置，系统和方法
公开(公告)号：WO2010033816A1
公开(公告)日：2010-03-25
申请号：PCT/US2009/057496
申请日：2009-09-18
申请人： INGENIX, INC. , ANDERSON, David, R. , RAWLINGS, Jean
发明人： ANDERSON, David, R. , RAWLINGS, Jean
IPC分类号： A61B5/00
CPC分类号： G06Q50/22 , G06F19/00 , G06F19/328 , G06Q10/10 , G16H15/00 , G16H50/20 , G16H50/50 , G16H50/70
摘要： An apparatus, system, and method for presentation of a natural history and the progression pathway of a disease is presented. In one embodiment, the apparatus an input/output adapter configured to receive information to generate a health profile for an individual. The apparatus may also include a processor configured to retrieve a disease progression map comprising one or more disease progression states from a data storage device, and determine a disease progression state associated with the individual in response to the health profile. In a further embodiment, the apparatus may include a display adapter coupled to the state determination module, the display module configured to display a graphical representation of the disease progression state with reference to the disease progression map.
摘要翻译：提出了用于呈现疾病的自然史和进展途径的装置，系统和方法。在一个实施例中，所述设备被配置为接收信息以生成个人的健康简档的输入/输出适配器。该装置还可以包括处理器，其被配置为从数据存储设备检索包括一个或多个疾病进展状态的疾病进展图，并且响应于健康简档来确定与个体相关联的疾病进展状态。在另一个实施例中，该装置可以包括耦合到状态确定模块的显示适配器，该显示模块被配置为参考疾病进展图显示疾病进展状态的图示。

5. 发明申请

WO2010019906A1 IMPACT INTELLIGENCE ONCOLOGY MANAGEMENT 审中-公开
标题翻译：影响智慧管理
公开(公告)号：WO2010019906A1
公开(公告)日：2010-02-18
申请号：PCT/US2009/053926
申请日：2009-08-14
申请人： INGENIX, INC. , O'CONNOR, Joe , KHAN, Janis, Diring , WOO, Ruby, K.
发明人： O'CONNOR, Joe , KHAN, Janis, Diring , WOO, Ruby, K.
IPC分类号： G06Q10/00
CPC分类号： G06Q10/00 , G06F19/00 , G06Q50/22
摘要： A system and methods for evaluating quality and cost efficiency of a healthcare service to a patient are presented. In one embodiment, the system may include a merged database comprising administrative data and clinical data, a cost-of-care efficiency engine coupled to the merged database, the cost efficiency engine configured to analyze the merged clinical data and administrative data to determine a measurement of cost efficiency, a quality engine coupled to the merged database, the quality engine configured to analyze the merged clinical data and administrative data to determine a compliance value, wherein the compliance value indicates a level of compliance with a clinical guideline, and a reporting application coupled to the cost efficiency engine and the quality engine, the reporting application configured to generate a report representing at least one of the measurement of cost efficiency and the compliance value.
摘要翻译：介绍了一种评估医疗服务对患者的质量和成本效率的系统和方法。在一个实施例中，系统可以包括合并的数据库，其包括管理数据和临床数据，耦合到合并的数据库的成本效益引擎，配置成分析合并的临床数据和管理数据以确定测量的成本效率引擎所述质量引擎被配置为分析合并的临床数据和管理数据以确定合规值，其中所述合规值指示符合临床指南的水平，以及报告应用程序耦合到成本效率引擎和质量引擎，所述报告应用被配置为生成表示成本效率和合规值中的至少一个的报告。

6. 发明申请

WO2007067926A2 ANALYZING ADMINISTRATIVE HEALTHCARE CLAIMS DATA AND OTHER DATA SOURCES 审中-公开
标题翻译：分析行政卫生保健索赔数据和其他数据来源
公开(公告)号：WO2007067926A2
公开(公告)日：2007-06-14
申请号：PCT/US2006061691
申请日：2006-12-06
申请人： INGENIX INC , RAWLINGS JEAN , ANDERSON DAVID , KRAUS CARL , PARIS ANDREW
发明人： RAWLINGS JEAN , ANDERSON DAVID , KRAUS CARL , PARIS ANDREW
IPC分类号： G06F7/00 , G06Q40/00 , G06Q50/00
CPC分类号： G06F19/36 , G06Q40/08 , G06Q50/22 , G16H10/20 , G16H15/00 , Y02A90/22 , Y02A90/26 , Y10S707/941
摘要： Techniques suitable for identifying potential subjects for a clinical trial and other applications are disclosed. One or more exclusion or inclusion criteria are defined for the clinical trial. One or more specialized searching tables are pre-generated using administrative healthcare claims data and the one or more exclusion or inclusion criteria. The specialized searching tables are searched. Through the searching step, subjects are identified within the administrative healthcare claims data who match the one or more exclusion or inclusion criteria. Through the searching step, a geographical area is identified corresponding to the subjects who match the one or more exclusion or inclusion criteria. A customized report is generated using the identified subjects and geographical area.
摘要翻译：公开了适用于鉴定临床试验和其他应用的潜在受试者的技术。为临床试验定义了一个或多个排除或纳入标准。使用管理医疗保健索赔数据和一个或多个排除或纳入标准预先生成一个或多个专门的搜索表。搜索专门的搜索表。通过搜索步骤，在与一个或多个排除或纳入标准相匹配的行政医疗保健索赔数据内确定受试者。通过搜索步骤，识别与匹配一个或多个排除或纳入标准的受试者相对应的地理区域。使用识别的主题和地理区域生成自定义报告。

7. 发明申请

WO2004051548A3 SYSTEM FOR DETERMINING A DISEASE CATEGORY PROBABILITY FOR A HEALTHCARE PLAN MEMBER 审中-公开
公开(公告)号：WO2004051548A3
公开(公告)日：2004-06-17
申请号：PCT/US2003/037097
申请日：2003-11-20
申请人： INGENIX, INC.
发明人： PRASAD, Badri, N. , LUTGEN, Gerald , HUANG, Xingue
IPC分类号： G06F19/00
摘要： A system and method is provided for determining a probability that a member of a health plan has a disease or condition within one or more disease categories, by using data from the member’s pharmacy claims. Logistic regression models are generated for each condition category using therapeutic drug categories, provider information, and/or other variables including member demographic information.

8. 发明申请

WO2011085352A1 SYSTEM AND METHOD FOR USE OF PREDICTION MARKET DATA TO GENERATE REAL-TIME PREDICTIVE HEALTHCARE MODELS 审中-公开
标题翻译：使用预测市场数据生成实时预测健康模型的系统和方法
公开(公告)号：WO2011085352A1
公开(公告)日：2011-07-14
申请号：PCT/US2011/020787
申请日：2011-01-11
申请人： INGENIX, INC. , HOFFNER, Ron, M. , RAWLINGS, Jean, W.
发明人： HOFFNER, Ron, M. , RAWLINGS, Jean, W.
IPC分类号： G06Q40/00
CPC分类号： G06Q50/22 , G06F19/00 , G06Q10/06 , G06Q30/02 , G16H50/50
摘要： In a computer-implemented system and method for generating a real-time predictive healthcare model that can predict future costs or health-related behaviors associated with a population of interest, historical healthcare data associated with the population members is used to generate an actuarial predictive model for the population. The actuarial predictive model enables identification of precursors for the population members, such as potential actions that can be taken by the population members to improve their future health and/or reduce future healthcare costs. The precursors are used to design one or more prediction markets and generate prediction market results based upon the market participants' responses. The prediction markets results, along with the actuarial predictive model, are used to generate a real-time predictive model. Later-received actuarial data associated with the population may be used to verify the accuracy of the prediction market results and update the real-time and actuarial predictive models.
摘要翻译：在计算机实现的系统和方法中，用于生成可以预测与感兴趣的群体相关联的未来成本或健康相关行为的实时预测性医疗保健模型，使用与群体成员相关联的历史医疗保健数据来生成精算预测模型为人口。精算预测模型可以确定人口成员的前体，例如人口成员可以采取的改善未来健康和/或减少未来医疗费用的潜在行动。前体用于设计一个或多个预测市场，并根据市场参与者的反应产生预测市场结果。预测市场结果以及精算预测模型被用于生成实时预测模型。与人口相关的后期精算数据可用于验证预测市场结果的准确性，并更新实时和精算预测模型。

9. 发明申请

WO2010048617A1 APPARATUS, SYSTEM, AND METHOD FOR RAPID COHORT ANALYSIS 审中-公开
标题翻译：用于快速协同分析的装置，系统和方法
公开(公告)号：WO2010048617A1
公开(公告)日：2010-04-29
申请号：PCT/US2009/062085
申请日：2009-10-26
申请人： INGENIX, INC , ANDERSON, David, R.
发明人： ANDERSON, David, R.
IPC分类号： G06F17/30
CPC分类号： G06F17/30321 , G06F17/30495 , G06F17/30536 , G06F17/30539 , G06F19/00 , G06F19/328 , G06Q40/08 , G16H50/70
摘要： An apparatus, system, and method for rapid cohort analysis. In one embodiment, the apparatus includes an interface and a processor. The interface may receive an identifier of a first index attribute. The processor may search the database for a first group of records associated with the first index attribute, search the database for a second group of records, each record in the second group of records sharing a common second index attribute with a record in the first group of records, but not associated with the first index attribute, and calculate a statistic in response to information associated with the first group of records and the second group of records.
摘要翻译：一种用于快速队列分析的装置，系统和方法。在一个实施例中，该装置包括接口和处理器。接口可以接收第一索引属性的标识符。处理器可以在数据库中搜索与第一索引属性相关联的第一组记录，在数据库中搜索第二组记录，第二组记录中的每个记录共享公共第二索引属性，其中记录在第一组中的记录，但不与第一索引属性相关联，并且响应于与第一组记录和第二组记录相关联的信息来计算统计量。

10. 发明申请

WO2010037077A1 APPARATUS, SYSTEM, AND METHOD FOR PREDICTING ATTITUDINAL SEGMENTS 审中-公开
标题翻译：装置，系统和预测原理部分的方法
公开(公告)号：WO2010037077A1
公开(公告)日：2010-04-01
申请号：PCT/US2009/058692
申请日：2009-09-29
申请人： INGENIX, INC. , DENNEN, Taylor , RAWLINGS, Jean, W.
发明人： DENNEN, Taylor , RAWLINGS, Jean, W.
IPC分类号： G06F17/30
CPC分类号： G06Q30/02 , G06Q30/0254 , G06Q30/0269
摘要： An apparatus, system, and method are presented for predicting attitudinal segments. In one embodiment, the method includes receiving a set of data elements associated with an individual, calculating a score for one or more attitudinal dimensions to associate with the individual in response to the set of data elements, calculating an attitudinal segment to associate with the individual in response to the score for the one or more attitudinal dimensions, and generating an output configured to associate the attitudinal segment with the individual.
摘要翻译：提出了一种用于预测态度分段的装置，系统和方法。在一个实施例中，该方法包括接收与个体相关联的一组数据元素，计算一个或多个态度尺度的得分以响应于该组数据元素与个体相关联，计算与该个体相关联的态度分段响应于所述一个或多个态度尺度的得分，以及生成被配置为将所述态度段与所述个体相关联的输出。

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