System and Method for Providing Customized Messages Relating to Health Plan Members
First Claim
1. A method for providing customized messages relating to a health plan member comprising:
- compiling health-related member data associated with the member;
analyzing the member data to identify at least one outcome relating to the health or healthcare of the member;
risk-stratifying the at least one outcome;
generating message data based on at least one of the risk-stratified outcomes;
configuring the message data based on the member'"'"'s health plan benefits; and
providing a customized message including the configured message data to the member.
1 Assignment
0 Petitions
Accused Products
Abstract
A system and method generates customized health-related messages for one or more health plan members. The customized messages may include customized information relevant to each recipient member based on available member data, and provide the members with education, resources, knowledge and/or guidance on a member'"'"'s accounts, benefits, health-related conditions and wellness potentially needed to make better-informed healthcare decisions. Messages may be provided to members and/or healthcare personnel involved in the care of plan members. To provide customized messages relating to one or more health plan members, member data is compiled to identify one or more outcomes related to the member data for each member. The outcomes are risk-stratified, and message data is generated based on the risk-stratified outcomes. The message data is configured based on the member'"'"'s plan benefits, and customized messages including the configured message data are provided to the respective members and/or healthcare personnel.
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Citations
20 Claims
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1. A method for providing customized messages relating to a health plan member comprising:
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compiling health-related member data associated with the member;
analyzing the member data to identify at least one outcome relating to the health or healthcare of the member;
risk-stratifying the at least one outcome;
generating message data based on at least one of the risk-stratified outcomes;
configuring the message data based on the member'"'"'s health plan benefits; and
providing a customized message including the configured message data to the member. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method for providing customized messages relating to a health plan member comprising:
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compiling health-related member data associated with the member;
analyzing the member data to identify at least one outcome relating to the health or healthcare of the member;
risk-stratifying the at least one outcome;
generating message data based on at least one of the risk-stratified outcomes;
configuring the message data based on the member'"'"'s health plan benefits; and
providing a customized message including the configured message data to healthcare personnel. - View Dependent Claims (12, 13, 14, 15)
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16. A system for providing a customized message relating to a health plan member, comprising:
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data storage for storing health-related member-related data;
a processor for;
compiling health-related member data associated with the member;
analyzing the member data to identify at least one outcome relating to the health or healthcare of the member;
risk-stratifying the at least one outcome;
generating message data based on at least one of the risk-stratified outcomes; and
configuring the message data based on the member'"'"'s health plan benefits; and
a message generator for providing a customized message including the configured message data to the member. - View Dependent Claims (17, 18)
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19. A customized message for a health plan member, wherein the customized message is generated by:
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compiling health-related member data associated with the member;
analyzing the member data to identify at least one outcome relating to the health or healthcare of the member;
risk-stratifying the at least one outcome;
generating message data based on at least one of the risk-stratified outcomes;
configuring the message data based on the member'"'"'s health plan benefits to create a customized message. - View Dependent Claims (20)
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Specification