Health services delivery system with incentives

• US 20030135394A1
• Filed: 01/13/2003
• Published: 07/17/2003
• Est. Priority Date: 06/23/2000
• Status: Abandoned Application

• Current Assignee: Jose Julian Padron, Nicanor Padron
• Original Assignee: Jose Julian Padron, Nicanor Padron
• Inventors: Padron, Jose Julian, Padron, Nicanor
• Application Number:
  US10/340,929
• Publication Number:
  US 20030135394A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

A system of health care service and an associated method of the administration thereof to a plurality of subscribers including a providing entity organizationally structured to implement a health care program which includes categorizing subscribers desirous of health care service, including preventative services, into a plurality of predetermined profiles. The profiles are defined by personal characteristics including age, gender, clinical history, etc. and each profile is associated with a predetermined curative or preventative treatment regimen with which a respective subscriber is expected to comply. An incentive system is implemented to motivate the subscribers into compliance with the assigned treatment regimen and comprises the assignment of credits and penalties based on a degree of compliance with the treatment regimen. Valuable consideration is awarded to the subscriber evidencing a satisfactory degree of compliance.

Claims

1. A health care system comprising:

a) a plurality of subscribers,

b) a providing entity including at least one predetermined health care program, said providing entity being organizationally structured to facilitate care of said plurality of subscribers through implementation of said health care program,

c) said health care program including a plurality of profiles each of which is determinative of at least one of a plurality of predetermined treatment regimens, and

d) said health care program including an incentive system including both credits and penalties assigned to said plurality of subscribers dependent on a degree of compliance with a designated one of said predetermined treatment regimens.

2. A health care system as recited in claim 1 wherein said plurality of treatment regimens associated with at least some of said profiles differ from one another.

3. A health care system as recited in claim 2 wherein each of said plurality of treatment regimens comprises a sequence of events assigned to one or more of said plurality of subscribers associated with a given profile.

4. A health care system as recited in claim 3 wherein said sequence of events of each treatment regimen is structured to improve or maintain the health care of each of said plurality of subscribers associated with a given profile.

5. A health care system as recited in claim 3 wherein said sequence of events associated with each of said plurality of treatment regimens are structured to be performed by one or more subscribers assigned to a respective treatment regimen.

6. A health care system as recited in claim 5 wherein one or more of said credits are assigned to respective ones of said plurality of subscribers based on satisfactory performance of a corresponding sequence of events.

7. A health care system as recited in claim 6 wherein one or more of said penalties are assigned to respective ones of said plurality of subscribers based on unsatisfactory performance of a corresponding sequence of events.

8. A health care system as recited in claim 7 wherein said incentive system is determined by a collective consideration of said credits and said penalties.

9. A health care system as recited in claim 5 wherein one or more of said penalties are assigned to respective ones of said plurality of subscribers based on satisfactory performance of a corresponding sequence of events.

10. A health care system as recited in claim 1 wherein said incentive system further comprises an issuance of awards when said degree of compliance results in the assignment of an excess credits over penalties.

11. A health care system as recited in claim 10 wherein said awards comprise valuable consideration.

12. A health care system as recited in claim 11 wherein said valuable consideration comprises equity interest in said providing entity.

13. A health care system as recited in claim 1 wherein said incentive system comprises an issuance of awards defined by an equity interest in said providing entity.

14. A health care system as recited in claim 13 wherein said equity interest defines an award issued to at least one of said plurality of subscribers as a part of said incentive system.

15. A health care system as recited in claim 1 wherein each of said plurality of profiles comprises a plurality of personal characteristics collectively determinative of a corresponding treatment regimen.

16. A health care system as recited in claim 1 wherein said providing entity comprises a computerized data base containing said plurality of profiles, each profile defined by a plurality of personal characteristics predetermined to categorize said plurality of subscribers as to a treatment regimen.

17. A health care system as recited in claim 16 wherein said providing entity further comprises processing facilities structured to compare input of personal characteristics from individual ones of said plurality of subscribers with said plurality of personal characteristics of said plurality of profiles.

18. A health care system as recited in claim 17 wherein said processing facilities are further structured to select at least one treatment regimen dependent on a selected one of said plurality of profiles.

19. A health care system as recited in claim 18 wherein said processing facilities are further structured to evaluate and determine said degree of compliance of a subscriber with said selected treatment regimen.

20. A health care system as recited in claim 1 wherein said health care program is structured to assign at least one of said predetermined treatment regimens to said subscriber immediately upon enrollment by said subscriber and identification of a corresponding one of said profiles.

21. A method of administering health care service by a providing entity to a plurality of subscribers, said method comprising:

maintaining a computerized data base of a plurality of profiles each of which is determinative of a treatment regimen,

categorizing each subscriber desirous of receiving health care service into at least one of said plurality of profiles,

assigning a predetermined treatment regimen to each subscriber dependent on the profile into which the subscriber is categorized,

implementing an incentive system based on compliance of respective ones of the subscribers with the assigned treatment regimen,

applying the incentive program by assigning credits and penalties to the subscriber based on the degree of compliance with the assigned treatment regimen, and

issuing awards to those subscribers having been assigned an excess of credits over penalties.

22. A method as recited in claim 21 comprising defining at least one award to include an equity interest in the providing entity.

23. A method as recited in claim 21 further comprising performing a diagnostic on the subscribers desirous of receiving health care service.

24. A method as recited in claim 23 comprising including results of the diagnostic as subscriber input in the categorizing of the subscribers into the plurality of profiles.

25. A method as recited in claim 23 further comprising determining if the treatment regimen for the subscriber is to be performed by the providing entity or by an outside vendor.

26. A method as recited in claim 25 further comprising collecting performance data regarding compliance with the assigned treatment regimen.

27. A method as recited in claim 26 comprising collecting the performance data from either the providing entity or the outside vendor.

28. A method as recited in claim 27 comprising determining the degree of compliance with the assigned treatment regimen based on the collected performance data.

29. A method as recited in claim 28 comprising assigning credits to subscribers evidencing a satisfactory degree of compliance with the assigned treatment regimen.

30. A method as recited in claim 28 comprising assigning penalties to subscribers evidencing an unsatisfactory degree of compliance with the assigned treatment regimen.

31. A method as recited in claim 21 comprising categorizing said subscriber and assigning a preventative one of said predetermined treatment regimens to said subscriber upon enrollment.