METHOD, SYSTEM, AND COMPUTER PROGRAM PRODUCT FOR PHYSICIAN EFFICIENCY MEASUREMENT AND PATIENT HEALTH RISK STRATIFICATION UTILIZING DIRECT STANDARDIZATION

Patent №

US 10,741,289

Granted

2020-08-11

Filed 2019

Owner

CAVE CONSULTING GROUP, INC.

Lab

—

AI components

ml · planning

Assignment

Recorded

Dataset

AIPD

2023_r1 edition

Application

16279691

A method for measuring physician efficiency and patient health risk stratification is disclosed. Episodes of care are formed from medical claims data and an output process is performed. Physicians are assigned to report groups, and eligible physicians and episode assignments are determined. Condition-specific episode statistics and weighted episode statistics are calculated, from which physician efficiency scores are determined.

Machine learning PlanningG16H 40/63G06Q 10/06398G06Q 10/10G06Q 30/02G16H 40/20G16H 50/30G16Z 99/00A61B 2505/05

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AI classification

Planning1.00

Machine learning0.98

AI hardware0.02

Knowledge representation0.02

Natural language0.01

Evolutionary computation0.01

Vision0.00

Speech0.00

Ownership

CAVE CONSULTING GROUP, INC.

assignment · 483750046

Assignors

CAVE, DOUGLAS G.

On an employer assignment, the assignors are typically the inventors.

From the same owner

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Cites (75)

METHOD, SYSTEM, AND COMPUTER PROGRAM PRODUCT FOR PHYSICIAN EFFICIENCY MEASUREMENT AND PATIENT HEALTH RISK STRATIFICATIONUS 7,739,126 · 2010 SYSTEM AND METHOD FOR RISK-ADJUSTING INDICATORS OF ACCESS AND UTILIZATION BASED ON METRICS OF DISTANCE AND TIMEUS 7,617,115 · 2009 METHOD AND SYSTEM FOR GAINSHARING OF PHYSICIAN SERVICESUS 7,546,245 · 2009 METHOD AND SYSTEM FOR GENERATING STATISTICALLY-BASED MEDICAL PROVIDER UTILIZATION PROFILESUS 7,222,079 · 2007 METHOD AND SYSTEM FOR GENERATING STATISTICALLY-BASED MEDICAL PROVIDER UTILIZATION PROFILESUS 6,223,164 · 2001 MEDICAL INFORMATION LOG SYSTEMUS 6,182,047 · 2001 TECHNIQUES FOR ESTIMATING CHARGES OF DELIVERING HEALTHCARE SERVICES THAT TAKE COMPLICATING FACTORS INTO ACCOUNTUS 6,061,657 · 2000 MEDICAL CLAIMS INTEGRATION AND DATA ANALYSIS SYSTEMUS 5,970,463 · 1999 SYSTEM FOR PROVIDING MEDICAL INFORMATIONUS 5,918,208 · 1999 SYSTEM AND METHOD FOR GENERATING A KNOWLEDGE WORKER PRODUCTIVITY ASSESSMENTUS 5,909,669 · 1999 SYSTEM AND METHOD FOR RECORDING PATIENT-HISTORY DATA ABOUT ON-GOING PHYSICIAN CARE PROCEDURESUS 5,845,253 · 1998 COMPUTER-IMPLEMENTED METHOD FOR PROFILING MEDICAL CLAIMSUS 5,835,897 · 1998 APPARATUS AND METHOD FOR MERGING MEDICAL PROTOCOLSUS 5,826,237 · 1998 HEALTH CARE PAYMENT SYSTEM UTILIZING AN INTENSITY ADJUSTMENT FACTOR APPLIED TO PROVIDER EPISODES OF CAREUS 5,819,228 · 1998 METHOD OF MODIFYING COMPARABLE HEALTH CARE SERVICESUS 5,724,379 · 1998 METHOD AND APPARATUS FOR OBJECTIVELY MONITORING AND ASSESSING THE PERFORMANCE OF HEALTH-CARE PROVIDERSUS 5,706,441 · 1998 SYSTEMS AND METHODS FOR AUTOMATICALLY SHARING INFORMATION AMONG REMOTE/MOBILE NODESUS 5,664,207 · 1997 INTERACTIVE PROBABILITY BASED EXPERT SYSTEM FOR DIAGNOSIS OF PACEMAKER RELATED CARDIAC PROBLEMSUS 5,660,183 · 1997 ANALYSIS AND REPORTING OF PERFORMANCE OF SERVICE PROVIDERSUS 5,652,842 · 1997 MEDICAL TRANSACTION SYSTEMUS 5,644,778 · 1997 SYSTEM FOR FUNDING FUTURE WORKERS COMPENSATION LOSSESUS 5,613,072 · 1997 SYSTEM AND METHOD FOR ASSESSING MEDICAL RISKUS 5,594,637 · 1997 HEALTH CARE MANAGEMENT SYSTEM FOR MANAGING MEDICAL TREATMENTS AND COMPARING USER-PROPOSED AND RECOMMENDED RESOURCES REQUIRED FOR TREATME NTUS 5,583,758 · 1996 FUZZY LOGIC ENTITY BEHAVIOR PROFILERUS 5,577,169 · 1996 METHOD AND SYSTEM FOR GENERATING STATISTICALLY-BASED MEDICAL PROVIDER UTILIZATION PROFILESUS 5,557,514 · 1996

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Cited by (1)

METHOD, SYSTEM, AND COMPUTER PROGRAM PRODUCT FOR PHYSICIAN EFFICIENCY MEASUREMENT AND PATIENT HEALTH RISK STRATIFICATIONUS 11,676,714 · 2023

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