Data processing: financial – business practice – management – or co – Automated electrical financial or business practice or... – Health care management
Reexamination Certificate
2008-07-15
2008-07-15
Frenel, Vanel (Department: 3687)
Data processing: financial, business practice, management, or co
Automated electrical financial or business practice or...
Health care management
C004S590000
Reexamination Certificate
active
07401027
ABSTRACT:
Methods are provided for collecting fees for managing and optimizing the profitability of a plurality of physicians in a healthcare practice participating in an insurance network. The methods include establishing a relationship between a healthcare consultation group and the healthcare practice participating in the insurance network to increase the physician's profitability by reducing a risk of not receiving a predetermined reimbursement amount for ancillary medical costs from the insurance network. The methods also include distributing predetermined percentages of savings attributed to the physicians' modified ancillary medical cost management behavior.
REFERENCES:
patent: 5365425 (1994-11-01), Torma et al.
patent: 5557514 (1996-09-01), Seare et al.
patent: 5706441 (1998-01-01), Lockwood
patent: 5722418 (1998-03-01), Bro
patent: 5724379 (1998-03-01), Perkins et al.
patent: 5784635 (1998-07-01), McCallum
patent: 5835897 (1998-11-01), Dang
patent: 5918208 (1999-06-01), Javitt
patent: 5924073 (1999-07-01), Tyuluman et al.
patent: 5953704 (1999-09-01), McIlroy et al.
patent: 6000828 (1999-12-01), Leet
patent: 6012035 (2000-01-01), Freeman et al.
patent: 6014631 (2000-01-01), Teagarden et al.
patent: 6026364 (2000-02-01), Whitworth
patent: 6029138 (2000-02-01), Khorasani et al.
patent: 6112182 (2000-08-01), Akers et al.
patent: 6151581 (2000-11-01), Kraftson et al.
patent: 6195612 (2001-02-01), Pack-Harris
patent: 6223164 (2001-04-01), Seare et al.
patent: 6370511 (2002-04-01), Dang
patent: 6381576 (2002-04-01), Gilbert
patent: 6385589 (2002-05-01), Trusheim et al.
patent: 2001/0037216 (2001-11-01), Oscar et al.
patent: 2001/0041990 (2001-11-01), Javitt
patent: 2002/0111826 (2002-08-01), Potter et al.
patent: 2002/0120468 (2002-08-01), Atallah
patent: 2002/0138303 (2002-09-01), Enos et al.
patent: 2002/0152097 (2002-10-01), Javors
Securing the perimeter; Health Management Technology; Atlanta; Dec. 2000; Mark Higging; vol. 21; Issue:12; Start pp. 8-12.
Influencing Physician Prescribing; Richard Segal, PhD; 1999; pp. 1-21.□□.
Incentive-based Physician Compensation Models; Kathryn P. Glass, MBA, MSHA; 1999; pp. 1-10.
Aligning physician financial incentives in a mixed-payment environment by David W. Young, Sheila M. McCarthy (Healthcare Financial Management; Westchester :Oct. 2000; vol. 54; Iss. 10; p. 46; pp. 1-10).
Changing Physician Behavior Is Tool to Reduce Health Care Costs by Rosenstein, Alan H., Shulkin, David. Health Care Strategic Management. Chicago: Sep. 1991. vol. 9, Iss.9; p. 14, 3 pgs.
Changing Physician Behavior Is Tool to Reduce Health Care Costs by Rosenstein, Alan H., Shulkin, David. Health Care Strategic Management. Chicago: Sep. 1991. vol. 9, Iss.9; p. 14, 3 pgs.
Landon et al., A Conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care, May 1998, JAMA, vol. 270 No. 17, pp. 1377-1382.
Rice, Physician Payment Policies, 1997, annual Review Public Health, pp. 549-565.
Glass et al., Incentive-Based Physician Compensation Models, Jul. 1999, Journal of Ambulatory Care Management, pp. 36-46.
Segal et al., Influencing Physician Prescribing, Oct. 1999, Pharmacy Practice Management Quarterly, pp. 30-50.
Cherney, Choosing an Advantageous Risk-Sharing Arrangement, Mar. 1999, Healthcare Financial Management, pp. 35-37.
Rosenstein et al., Changing Physician Behavior is Tool to Reduce Health Care Costs, Sep. 1991, Healthcare Strategic Management, vol. 9, Iss. 9, pp. 14-16.
Snail, The Effects of Hospital Contracting for Physician Services on Hospital Performance, Spring 2000, University of California, Berkley, pp. 1-182.
Higging, M., Securing the perimeter; Health Managment Technology; Atlanta; Dec 2000; vol. 21; Issue 12 Start pp. 8-12.
Landon et al., A conceptual Model of the Effects of Health Care Organizations on the Quality of Medical Care, May 1998, Jama, vol. 270, No. 17, pp. 1377- 1382.
Rice, Physicians Payment Policies, 1997, Annual Review Public Health, pp. 549-565.
Glass et al., Incentive-Based Physician Compensation Models, Jul. 1999, Journal of Ambulatory Care Management, pp. 36-40.
Segal et al., Influencing Physicians Prescribing, Oct. 1999, Pharmacy Practice Management Quarterly, pp. 30-50.
Cherney, Choosing as Advantageous Risk-Sharing Arrangement, Mar. 1999, Healthcare Financial Management, pp. 35-37.
Rosenstein et al., Changing Physicians Behavior is Tool to Reduce Health Care Costs, Sep. 1991, Healthcare Strategic Management, vol. 9, Iss. 9, pp. 14-16.
Snail, The Effects of Hospital Contracting for Physicians Services on Hospital Performance, Spring 2000, University of California, Berkley, pp. 1-182.
Young et al., Aligning Physician Financial Incentives In a Mixed-Payment Environment, Healthcare Financial Management, pp. 46-55 (Oct. 2000).
Davis et al., New Compensation Model Improves Physician Productivity, Jul. 1999, Healthcare Financial Management, pp. 46-49.
Shulkin, Promoting Cost Effective Physician Behavior, Jul. 1993, Healthcare Financial Management, vol.47, No. 7, pp. 48-54.
Schwartz, Creating a Benchmark Database, Jan. 1998, Health Management Technology, pp. 65-66.
File History of Lewis U.S. Appl. No. 09/812,704.
File History of Lewis U.S. Appl. No. 11/933,075.
File History of Lewis U.S. Appl. No. 11/924,751.
Lewis Charles
Moore Terrance
Bracewell & Giuliani LLP
Frenel Vanel
The Jasos Group, LLC
LandOfFree
Methods for collecting fees for healthcare management group does not yet have a rating. At this time, there are no reviews or comments for this patent.
If you have personal experience with Methods for collecting fees for healthcare management group, we encourage you to share that experience with our LandOfFree.com community. Your opinion is very important and Methods for collecting fees for healthcare management group will most certainly appreciate the feedback.
Profile ID: LFUS-PAI-O-2763622