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Economic model for measuring the cost and value of a particular health insurance plan

机译:用于衡量特定健康保险计划的成本和价值的经济模型

摘要

The present invention provides a system and method for measuring the relative economic benefits from services offered by health care plans. The present invention quantifies value of health care quality by indicating an economic return on the investment in health care quality, enabling organizations and businesses to view health care quality in a familiar paradigm that extends health plan differentiation beyond premium and benefits. Businesses may employ the present invention to compare different health care plans or classes of plans, such as accredited versus non-accredited plans. Specifically, a particular plan or class of plans may provide improved monitoring, treatment and control of various medical conditions, and the present invention quantifies the economic benefits to employers from the improved health care for employees. In one embodiment, the present invention looks to a set of specific medical conditions and is based on three key steps. First, the present invention identifies the overall level of employees at the organization affected by these conditions. Second, the present invention uses the reduction in absenteeism and low productivity days made possible by improved monitoring and control of the medical conditions. Third, the present invention calculates a monetary valuation to the firm of the reduction in absenteeism and low productivity days based on the firm's average revenue per employee, average daily wage, and other parameters.
机译:本发明提供了一种用于测量由健康护理计划提供的服务的相对经济利益的系统和方法。本发明通过指示对卫生保健质量的投资的经济回报来量化卫生保健质量的价值,使组织和企业能够以熟悉的范式查看卫生保健质量,该范式将卫生计划的区别扩展到保险费和收益之外。企业可以使用本发明来比较不同的健康护理计划或计划类别,例如经认可的计划与未经认可的计划。具体地,特定计划或计划类别可以提供对各种医疗状况的改进的监视,治疗和控制,并且本发明量化了从对雇员的改善的医疗保健中给雇主带来的经济利益。在一个实施例中,本发明着眼于一组特定的医疗状况并且基于三个关键步骤。首先,本发明确定了受这些条件影响的组织中雇员的总体水平。第二,本发明利用了通过改善对医学状况的监视和控制而导致的缺勤率的降低和生产率的降低。第三,本发明基于公司的每名雇员的平均收入,平均日工资和其他参数,计算出公司的缺勤和低生产率天数的减少的货币价值。

著录项

  • 公开/公告号US7958002B2

    专利类型

  • 公开/公告日2011-06-07

    原文格式PDF

  • 申请/专利权人 JAMES BOST;

    申请/专利号US20090607838

  • 发明设计人 JAMES BOST;

    申请日2009-10-28

  • 分类号G06Q50;G06F17/30;

  • 国家 US

  • 入库时间 2022-08-21 18:08:11

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