Process, knowledge, and intelligence management through...

Data processing: financial – business practice – management – or co – Automated electrical financial or business practice or... – Health care management

Reexamination Certificate

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C705S003000, C705S004000

Reexamination Certificate

active

07996241

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.

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Lowes, How Your Productivity is Measured: If You're Paid Based on Your Output, You Should Find Out What Goes Into the Calculation and Whether the Formula Is Best for You, Oct. 2007, Medical Economics, pp. 24-30.

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