DYNAMIC MODELING AND SCORING RISK ASSESSMENT
First Claim
1. A method for pricing insurance premiums for a group including at least one individual based upon aggregate risk information, 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 analysis of the first set of data from each individual of the group;
storing said first risk score of the group;
computing a first insurance premium for the group based upon the 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
computing a second insurance premium for the group based upon the second risk score for the group.
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Accused Products
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.
117 Citations
20 Claims
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1. A method for pricing insurance premiums for a group including at least one individual based upon aggregate risk information, comprising:
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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 analysis of the first set of data from each individual of the group;
storing said first risk score of the group;
computing a first insurance premium for the group based upon the 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
computing a second insurance premium for the group based upon the second risk score for the group. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
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10. A system for pricing insurance premiums for a group including at least one individual based upon aggregate risk information, comprising:
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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, 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 an insurance premium based upon said first risk score and said second risk score, wherein the insurance premium is determined based on a change in the first group risk score as compared to the second group risk score. - View Dependent Claims (11, 12, 13, 14, 15, 16)
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17. A system for pricing insurance premiums for a group including at least one individual based upon aggregate risk information, comprising:
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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 analysis of the first set of data from each individual of the group;
means for storing said first risk score of the group;
means for computing a first insurance premium for the group based upon the 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 a second set of data of the group; and
means for computing a second insurance premium for the group based upon the second risk score for the group, wherein the second insurance premium for the group is based upon on a change in the first group risk score as compared to the second group risk score. - View Dependent Claims (18, 19, 20)
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Specification