Member-Centric Health Management Platform Personalization

Resolve Bottlenecks,
Find Innovative SolutionsGenerate Solutions

Solution Overview

Problem

Health insurance companies provide generic and non-tailored health services, leading to underutilization of online health services, as existing telehealth applications are not patient-centric and often difficult to navigate, resulting in patients with rare conditions struggling to find relevant applications and experiencing application fatigue.

Innovation Solution

A health management system that receives demographic and health information to create a member profile, allowing for the selection and provision of personalized content and applications tailored to individual patients' needs, including medical condition codes, health risk assessments, and insurance plan information, via a computing device.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If health insurance companies provide generic health services through existing telehealth applications, then service coverage is broad, but patient engagement and satisfaction are low due to lack of personalization

Engineering Contradiction:

Improvepersonalization of health servicesVSAvoidsystem complexity for content delivery

Core Design Contradiction:

Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The system performs preliminary actions by receiving and storing demographic information, health information, medical condition codes, and health risk assessments before service delivery. Member profiles are created in advance using this pre-collected data, enabling personalized content selection without requiring complex real-time processing during service delivery.

Inventive Principle:

Principle #10Preliminary action

Solution Approach 2:

The patent introduces a intermediary content delivery system that acts as a mediator between the health insurance company's service platform and the patient's computing device. This intermediary selectively provisions content based on member profiles, simplifying the overall system architecture by handling personalization logic in a dedicated layer rather than requiring complex integration across all system components.

Inventive Principle:

Principle #24Intermediary (Mediator)

2Ease of operation

If multiple separate telehealth applications are provided for different medical conditions, then specialized care is available, but patients experience application fatigue and difficulty locating relevant applications

Engineering Contradiction:

Improveease of accessing relevant health servicesVSAvoidcoverage of multiple medical conditions

Core Design Contradiction:

Ease of operationVSAdaptability or versatility

Solution Approach 1:

The patent merges multiple separate telehealth applications into a single unified platform. The system receives various health information types including medical condition codes for different conditions, and instead of requiring separate applications for each condition, it provisions appropriate content and services within one integrated system that adapts to the patient's specific needs based on their member profile.

Inventive Principle:

Principle #5Merging (Combining)

Solution Approach 2:

The unified health management system performs multiple functions within a single platform. It can handle various medical conditions, deliver personalized content, provide telehealth services, and manage member profiles all through one system interface, eliminating the need for patients to locate and use multiple separate applications while maintaining comprehensive coverage for different health conditions.

Inventive Principle:

Principle #6Universality (Multi-functionality)

3Ease of operation

If telehealth applications are made easy to navigate with generic interfaces, then usability is improved, but services remain non-tailored to individual patients leading to underutilization

Engineering Contradiction:

Improveusability of health service interfaceVSAvoideffectiveness of health services

Core Design Contradiction:

Ease of operationVSReliability

Solution Approach 1:

The system applies local quality by customizing the service delivery based on each patient's specific characteristics. While maintaining a consistent unified interface for ease of use, the system selectively provisions content and services tailored to each member's profile, including their specific medical conditions, health risk assessments, and demographic information, ensuring both usability and effectiveness.

Inventive Principle:

Principle #3Local quality

Solution Approach 2:

The system implements dynamics by making the service delivery adaptive and flexible. The unified interface remains stable and easy to navigate, but the underlying content and services dynamically adjust based on the member profile. The system can modify which applications and content are made available to each patient based on their health information and needs, achieving both ease of operation and service effectiveness.

Inventive Principle:

Principle #15Dynamics

Data Source

PatentUS20220051766A1Systems and methods for a member-centric health management platform

Publication Date: 2022.02.17 CLEAR SPRING HEALTH HOLDINGS LLC

AI summary

An example method for selective content provision for members of a health management system involves receiving demographic information related to a member. The method also involves receiving health information related to the member. The health information includes a medical condition code, a health risk assessment, health insurance plan information, and health insurance claim data. The method also involves determining a member profile using the demographic information and the health information. The method also involves selecting content for the member based on the member profile. The method also involves providing the selected content to a computing device associated with the member.