50 results about "Health planning" patented technology

System and method for reducing healthcare costs by improving care and encouraging healthy behaviors. A web-based or telephonic program using health plan sponsor funded financial incentives, offered to patients and providers for declaring or demonstrating adherence or providing a reason for non-adherence to performance standards. Financial incentives are contingent upon patient's and provider's agreement to allow the other to confirm or acknowledge the other's declaration or demonstration of adherence or non-adherence reason. Combining financial incentives with a set of checks and balances motivates participation in the program and adherence to the performance standards. Performance standards include evidence-based treatment guidelines, information therapy, wellness and prevention solutions, care management, and other methods proven to control costs by improving behaviors and healthcare. The system and method achieves improved health and more affordable healthcare by aligning the interests of providers, patients/consumers, and health plan sponsors in a win-win-win arrangement.

Provided are embodiments of systems, computer medium and computer-implemented methods for monitoring the health of an employee while the employee is located in an employee workstation. A method for monitoring the health of an employee while the employee is located in an employee workstation including collecting health data including neural data collected from one or more neural sensors disposed about the scalp of the employee, determining an employee health profile based at least in part on neural data, the employee health profile comprising one or more of health characteristics, health conditions and health risks for the employee, generating a health plan for the employee based at least in part on the employee health profile, and serving health content, including the employee health profile and the health plan, for display to the employee.

A software driven health care quality management system is disclosed. This system is user friendly, allowing easy navigation through various screens that enable the user to identify drivers of Star Rating System performance. The present invention offers easy drill-down functionality from a plan level, to a provider group, individual provider, and member level to provide actionable data that can improve the quality of care and ultimately a plan's star ratings. This system addresses each of the drivers that influence overall plan revenue, by providing an enterprise business intelligence system, designed to maximize process quality measures, promote value-based purchasing, and maximize risk-adjusted revenue for such health plans and health provider organizations.

Comprehensive claim primacy among all insurers serving a given population is determined quickly and efficiently while not requiring all 4,500 or so insurers (in the U.S.) to unanimously adopt a new system of claim processing cooperation. The claim primacy determination is made by a centralized server with access to health plan enrollment and benefit data from substantially all insurers. The determination can therefore be comprehensive. Efficiency is achieved by caching enrollment and benefit data by the server, requiring periodic updates of the cached data by health plans. Unanimous lock-step adoption by the insurers is avoided by combining a standardized electronic messaging system to query data not cached in the server.

Methods, computer storage media, systems and user interfaces for facilitating development of personalized plans of health are provided. In one embodiment, the method includes referencing clinical data associated with a patient that was previously captured from a plurality of sources at corresponding clinical encounters. The clinical data can include static data that does not change over the lifetime of the patient and dynamic data that does change over the lifetime of the patient. The clinical data and evidence-based data are used to develop a personalized plan of health for the patient. Such a personalized plan of health provides a plan of health care for the patient in accordance with aggregate healthcare history of the patient.

The invention relates to a health plan generation method and device, computer equipment and a storage medium. The method includes the steps of receiving a user identifier and user health behavior datasent by a user terminal; searching for treatment data corresponding to the user identifier; extracting user health characteristics from the user health behavior data and the treatment data; generating a first health record according to the user health characteristics, adding the first health record into a health file corresponding to the user identifier, and updating the health file; performing abnormal characteristic detection on the updated health file to obtain abnormal health characteristics; searching for health plan details corresponding to the abnormal health characteristics, performing detail conflict verification on the health plan details according to the abnormal health characteristics, and generating a user health plan based on the health plan details and the detail conflict verification result. By adopting the method, the health plan making efficiency can be improved.

The invention discloses an analysis service system for health big data of home-based care for the aged. The system includes a portable physical examination device, a medical data acquisition module, a health assessment module, a health planning module, a medical science confirmation database, a central storage database and a query terminal. The analysis service system for health big data of home-based care for the aged provided by the invention obtains health condition data of the aged through the portable physical examination device, obtains diagnosis information of the aged by a medical institution through the medical data acquisition module, then judges a current health mode through analysis of the health condition data and diagnosis information of the aged by the health assessment module, and automatically recommends diet and exercise conditioning plans for the aged through the health planning module and medical science confirmation module, thus the aged can eat according to dietary structure advices, thereby realizing dietary therapy, appropriate exercise plan advances can be learnt, and thus exercise can be taken with pertinence, and the physique is improved.

Technologies for identifying coding/care gaps of an insurance claim include a computing device configured to receive an insurance claim from a healthcare provider, create a claim encounter reconciliation data pack (CERDP) based on the received insurance claim, and analyze the CERDP to identify whether any coding/care gaps exist in the received insurance claim. Upon determining any coding/care gaps, the computing device is additionally configured to provide an interface to the healthcare provider usable to view and resolve the identified coding/care gaps. The computing device is further configured to receive updated claim information as a function of the resolution of the identified coding/care gaps and transmit a related insurance claim to a corresponding health plan. Other embodiments are described herein.

The invention discloses an intelligent health planning system. The system comprises a user static label data acquisition module, a user exercise data acquisition module, a user diet record analysis module, a user body index physical examination module, a user preference collection analysis module and a user diet planning module; according to the system, a user does not need a professional nutrition doctor to provide advice, the system can always propose appropriate diet and exercise recommendations in the view of a user own physical condition, and be low in cost of use and convenient to use, collected data is more comprehensive, and results through analysis are more accurate.

The invention discloses a fitness management method. The fitness management method comprises the following steps: acquiring a health assessment result and health planning information corresponding toa currently logged first user account; generating a fitness scheme based on the health assessment result and the health planning information; determining whether the intelligent terminal is currentlyconnected with a data network or not; when the intelligent terminal is currently connected with a data network, determining whether a target network fitness application matched with the fitness schemeexists in network fitness applications currently installed in the intelligent terminal or not; and if so, displaying a first starting selection interface of the target network fitness application. The invention further discloses a fitness management device and a computer readable storage medium. According to the invention, the reasonable network fitness application can be recommended to the useraccording to the health assessment result and the health planning information of the user, and the user experience is improved.

The invention discloses a foot massage customization method based on a foot scanner and relates to the field of sharing technologies. The method includes the following steps: S1: obtaining a foot 3D model and the parameter of the same through the foot scanner; S2: making a laser plantar massage treatment through the foot scanner according to the health question and answer conditions of users; S3:performing the real-time dynamic positioning on the plantar acupoints of different users by utilizing a camera and the foot 3D model through the foot scanner and performing the massage on the corresponding plantar acupoints by utilizing a quantity of laser emitters; S4: recommending a shoe customization service for users by the foot scanner. The beneficial effects are that the foot 3D model and the parameter of the same are obtained by the foot scanner, the health conditions of users are knew through the questions and answers, the personal plantar massage treatment and other health plans are made through the coordination with the foot 3D model, the shoes matched the foot are made for users at the same time, so that the health states of user can be systematically improve.

A software system for providing assistance to third party healthcare payors and others in recouping funds to which they have a subrogation right. The system generally comprises a web enabled computer server and a dynamic information gathering module for instructing a processor to search a health insurance claims database for all claims of record meeting a specified criteria and display, and a search window for allowing a user to enter a selected black box drug and date range for searching said health insurance claims database. The software application can identify individuals who took a particular drug and had an adverse outcome, and can identify specific diagnoses which can be imputed back to drugs or chemical exposure (such as mesothelioma caused by exposure to asbestos, and liver toxicity caused by acetominophen (including combination drugs containing acetaminophen). The software system assists health insurers in collecting funds subject to a subrogation claim.

The invention relates generally to a system and methods by which a microbiome-based action component may be developed that is useful in order to establish, restore, promote, or maintain subject health. More specifically, the system and methods of the present invention may be used to develop a microbiome-based action component that efficiently summarizes the state of a subject's microbiome along with measures of gut maturity in case of an infant and nutrition readiness in case of an adult subject. Such an efficient summary may be used to render more immediate support or health care to the subject. Certain specific embodiments of the present invention may be used to facilitate the development a microbiome-based action component that provides, in addition to the efficient summary, a subject-specific, personalized microbiome health plan that includes options that may be followed in order that the subject may achieve personal health, growth, and development goals given the state of the subject's microbiome and state of maturity or nutritional readiness by aligning appropriate decision-making to the individual microbiome-based profile of the subject.

A system and method for displaying health plans to consumers is provided. The system and method can be accessed directly by consumers or other entities can help consumers by providing information needed to make a decision. For example a pharmacy can implement the system within their environment where patient drug profile is easily accessible to find the best plan for the member as a service. A user can search for a health plan based on input criteria such as their ZIP Code and their choice of drugs. Based on the input criteria, the method displays the most cost effective health plans with the least annual drug costs for available pharmacies.

An integrated medical clinic and retreat owner-member treatment process includes the steps of acquiring an equity ownership in a medical clinic and membership in a clinic associated medical retreat program to become an owner-member. The owner-member starts the retreat program with the process of entering the medical clinic for a doctor's examination and for diagnostic testing. The diagnostic testing and the doctor's examination information are processed in a central computer for designing an owner-member wellness program for entering the medical retreat program using diagnostic test results and a doctor's examination and including designing custom nutrition activities and therapy plans for the owner-member during his tenure in the medical retreat.

The present invention relates to certain on-line health and benefits plan enrollment systems and methods of use thereof. According to certain embodiments of the present invention, systems are provided for enrolling employees in, and administering, one or more employee health plans. Such embodiments generally comprise at least one server that is capable of hosting a website that may be accessed by an employer via the internet. The website preferably comprises an employer enrollment portal that allows an employer to establish itself as the health care plan administrator. The employer enrollment portal is preferably capable of submitting various types of information to the server, such as the name and address of the employer, payroll information, employer bank information, health plan co-pay amounts, required employee contribution amounts and frequency, enrollment data, or any combination of the foregoing. The website preferably further comprises an employer plan management portal that allows the employer to manage and modify the employee health plan. Still further, the website preferably comprises an employee plan management portal that allows employees to manage and modify their health plans.