METHOD AND SYSTEM FOR GENERATING STATISTICALLY-BASED MEDICAL PROVIDER UTILIZATION PROFILES

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United States of America Patent

SERIAL NO

12853150

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Abstract

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A method and system for analyzing historical medical provider billings to statistically establish a normative utilization profile. Comparison of a medical provider's utilization profile with a normative profile is enabled. Based on historical treatment patterns and a fee schedule, an accurate model of the cost of a specific medical episode can be created. Various treatment patterns for a particular diagnosis can be compared by treatment cost and patient outcome to determine the most cost-effective treatment approach. It is also possible to identify those medical providers who provide treatment that does not fall within the statistically established treatment patterns or profiles.

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Patent Owner(s)

Patent OwnerAddress
OPTUMINSIGHT INC12125 TECHNOLOGY DRIVE EDEN PRAIRIE MN 55344

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Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Bentley, Matthew R West Jordan, US 5 518
Mattey, Jean Andrea Midvale, US 4 225
Seare, Jerry G Salt Lake City, US 5 518
Smith-Wilson, Patricia A North Salt Lake, US 5 518
Synder, Eileen K Sandy, US 2 44
Van, Wagoner Kurt Layton, US 3 94
Wahlstrom, Candace C Salt Lake City, US 5 512
Willis, Michelle Sandy, US 6 578

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