DYNAMIC MODELING AND SCORING RISK ASSESSMENT

• US 20080004915A1
• Filed: 08/08/2007
• Published: 01/03/2008
• Est. Priority Date: 09/25/1998
• Status: Abandoned Application

• Current Assignee: Stephen Brown
• Original Assignee: Stephen Brown
• Inventors: Brown, Stephen
• Application Number:
  US11/835,574
• Publication Number:
  US 20080004915A1
• Time in Patent Office: Days
• US Class Current: 705/4
• CPC Class Codes: G06Q 10/067 Enterprise or organisation modelling
• CPC Class Codes: G06Q 30/0224 based on user history
• CPC Class Codes: G06Q 40/00 Finance; Insurance; Tax strategies; Processing of corporate or income taxes
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

The invention provides for modeling and scoring risk-assessment and a set of insurance products derived therefrom. Risk indicators are determined at a selected time. A population is assessed at that time and afterward for those risk indicators and for consequences associated therewith. Population members are coupled to client devices for determining risk indicators and consequences. A server receives data from each client, and in response thereto and in conjunction with an expert operator, (1) reassesses weights assigned to the risk indicators, (2) determines new risk indicators, (3) determines new measures for determining risk indicators and consequences, and (4) presents treatment options to each population member. The server determines, in response to the data from each client, and possibly other data, a measure of risk for each indicated consequence or for a set of such consequences. The server provides this measure with regard to each population member, or with regard to population subsets. The expert operator uses this measure to determine either (1) an individual course of treatment, (2) a resource utilization review model, (3) a risk-assessment model, or (4) an insurance pricing model, for each individual population member or for selected population subsets. Information requested by the client, information determined and presented by the server, and responsive measurements, are adapted dynamically to changing population aspects or changing population membership, or of an external environment having relevance to the population.

Claims

1. A method for determining whether an award should be distributed for an improvement in an aggregate risk factor for a group including at least one individual, comprising:

acquiring a first set of data from each individual of the group regarding health information;

assigning a first risk score to the group based upon the first set of data;

storing said first risk score of the group;

acquiring a second set of data from each individual of the group regarding health information;

assigning a second risk score to the group based upon the second set of data;

storing said second risk score of the group; and

assessing a change for the group by comparing the second risk score to the first risk score and determining whether an award should be distributed based upon the change.

2. The method as claimed in claim 1, wherein the first set of data and second set of data of each individual of the group is acquired by use of a client device.

3. The method as claimed in claim 2, wherein the step of acquiring the first set of data from each individual of the group further comprises prompting the individual to enter the first set of data and the second set of data into the client device.

4. The method as claimed in claim 2, wherein assigning said first risk score and said second risk score is performed by a server device.

5. The method as claimed in claim 4, further comprising establishing a communication pathway between the client device and a server device.

6. The method as claimed in claim 5, wherein the communication pathway is at least one of an internet connection, an intranet connection, a local area network, a telephone connection, a wireless connection, a cable connection, a satellite connection, a router connection, an Ethernet connection, a serial connection, a USB connection, a firewire connection, a microwave connection and a cellular connection.

7. The method as claimed in claim 1, wherein the step of assigning the first risk score to the group comprises selecting a risk-assessment model against which to compare the first set of data.

8. The method as claimed in claim 7, wherein the step of assigning the first risk score for the group comprises comparing the first set of data to the risk-assessment model.

9. The method as claimed in claim 7, wherein the risk-assessment model is at least one of an established risk-assessment model and a unique risk-assessment model.

10. The method as claimed in claim 1, wherein determining whether the award should be distributed is based upon at least one of a reduced risk score, a maintained risk score, an accomplished goal, and a reduction in the rate of the group'"'"'s increasing risk.

11. The method as claimed in claim 10, wherein the award is at least one of a reduction in an insurance premium, a pecuniary benefit, an expansion of insurance coverage, a bonus, an incentive, and a continuance of insurance coverage.

12. A system for providing an award for improvement of aggregate risk factor information for a group including at least one individual, comprising:

a client device, for acquiring a first set of data from each individual of the group and a second set of data from each individual of the group; and

a server device, operably connected to the client device via a communication pathway, for analyzing the first set of data and the second set of data to compute a first risk score and a second risk score for the group and determining whether an award should be distributed based upon a change between the first risk score and the second risk score.

13. The system as claimed in claim 12, wherein the client device prompts each individual to enter the first set of data and the second set of data into the client device.

14. The system as claimed in claim 12, wherein said client device includes an input device.

15. The system as claimed in claim 14, wherein said input device comprises a data port.

16. The system as claimed in claim 12, wherein the communication pathway is established between the client device and the server device by at least one of an internet connection, an intranet connection, a local area network, a telephone connection, a wireless connection, a cable connection, a satellite connection, a router connection, an Ethernet connection, a serial connection, a USB connection, a firewire connection, a microwave connection and a cellular connection.

17. The system as claimed in claim 12, wherein the first set of data and the second set of data are sent to the server device via the communication pathway.

18. The system as claimed in claim 12, wherein the award is distributed based upon at least one of a reduced risk score, a maintained risk score, an accomplished goal, and a reduction in the rate of the group'"'"'s increasing risk.

19. The system as claimed in claim 12, wherein the award is at least one of a reduction in an insurance premium, a pecuniary benefit, an expansion of insurance coverage, a bonus, an incentive, and a continuance of insurance coverage.

20. A system for determining whether an award should be distributed for an improvement in an aggregate risk factor for a group including at least one individual, comprising:

means for acquiring a first set of data from each individual of the group regarding health information;

means for assigning a first risk score to the group based upon the first set of data;

means for storing said first risk score of the group;

means for acquiring a second set of data from each individual of the group regarding health information;

means for assigning a second risk score to the group based upon the second set of data;

means for storing said second risk score of the group; and

means for assessing a change for the group by comparing the second risk score to the first risk score and determining whether an award should be distributed based upon the change.