HEALTH INCENTIVE MANAGEMENT FOR GROUPS

• US 20080300916A1
• Filed: 01/02/2008
• Published: 12/04/2008
• Est. Priority Date: 08/10/2000
• Status: Abandoned Application

• Current Assignee: Anthem, Inc.
• Original Assignee: Anthem, Inc.
• Inventors: Kronenberg, Douglas M., Parkinson, Michael D., Tooke, Charlton Clinton III, Pomeroy, Charles W.
• Application Number:
  US11/968,448
• Publication Number:
  US 20080300916A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/02 Banking, e.g. interest calculation or account maintenance credit or loans G06Q40/03
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A method of presenting information to an administrator. The method includes the steps of accessing a library of actual expenditures on health care by an organization, generating a baseline based on the actual expenditures, enabling an administrator to reconfigure a health benefit plan and generating a display with impact information resulting from the administrator reconfiguring the health benefit plan. A method of optimizing a set of health incentives for an organization is also provided.

Claims

1. A method of presenting information to an administrator, the method comprising:

(a) accessing a library of actual expenditures on health care by an organization;

(b) generating a baseline based on the actual expenditures;

(c) enabling the administrator to reconfigure a health benefit plan; and

(d) generating a display with impact information resulting from the administrator reconfiguring the health benefit plan.

2. The method of claim 1, wherein the step of enabling the administrator to reconfigure the health benefit plan further comprises the steps of:

(i) enabling the administrator to configure one or more incentives and

(ii) enabling the administrator to perceive projected results based on the incentives.

3. The method of claim 2, wherein the step of enabling the administrator to reconfigure the health benefit plan further comprises the step providing a set of interactive charts to analyze levels of funding as well as other options.

4. The method of claim 3, wherein the set of interactive charts include a scroll bar for setting and analyzing levels of funding.

5. The method of claim 3, wherein at least one interactive chart of the set of interactive charts enables the administrator to assess estimated participation versus spending levels.

6. The method of claim 5, wherein the incentive is a reward for meeting a goal.

7. The method of claim 1, wherein the library of actual expenditures on health care by an organization is maintained by a health care intermediary.

8. The method of claim 1, wherein the baseline is generated by a health benefits program that is launched through a web browser.

9. The method of claim 8, wherein the health benefits program receives information by accessing data from human resources data for employees, employee medical or medical treatment data and/or insurance information from a health care intermediary.

10. The method of claim 1, wherein the display generated in step (d) includes a slider bar or graph to demonstrate cost changes with time.

11. The method of claim 1, further comprising the step of providing the administrator a current engagement chart presenting information on the current or estimated current engagement levels of a group.

12. The method of claim 11, wherein the current engagement chart indicates by percentage group members engaged in healthcare and group members identified as low risk.

13. The method of claim 12, wherein the current engagement chart indicates by percentage group members who routinely check health indications.

14. The method of claim 13, wherein the health indications are selected from blood pressure, pulse, weight and body mass index.

15. The method of claim 11, further comprising the step of providing the administrator an ideal cost/benefit level of engagement chart presenting an estimated ideal level of engagement levels.

16. The method of claim 15, wherein the levels of engagement are selected may the percentage of individuals who actively manage healthcare, regularly exercise, smoke or drink.

17. A method of optimizing a set of health incentives for an organization, the organization having an administrator, the method comprising:

(a) accessing a library of actual expenditures on health care by the organization;

(b) generating a baseline based on the actual expenditures;

(c) enabling the administrator to reconfigure a health benefit plan by enabling the administrator to configure a set of incentives;

(d) enabling the administrator to assess projected results based on the set of incentives;

(e) generating a display with impact information resulting from the administrator reconfiguring the health benefit plan; and

(f) selecting an optimal set of incentives through the use of the impact information generated in step (e).

18. The method of claim 17, wherein the step of enabling the administrator to reconfigure the health benefit plan further comprises the step providing a set of interactive charts to analyze levels of funding as well as other options.

19. The method of claim 18, wherein the set of interactive charts include a scroll bar for setting and analyzing levels of funding.

20. The method of claim 18, wherein at least one interactive chart of the set of interactive charts enables the administrator to assess estimated participation versus spending levels.

21. The method of claim 20, wherein the incentive is a reward for meeting a goal.

22. The method of claim 17, wherein the baseline is generated by a health benefits program that is launched through a web browser.

23. The method of claim 22, wherein the health benefits program receives information by accessing data from human resources data for employees, employee medical or medical treatment data and/or insurance information from a health care intermediary.

24. The method of claim 17, wherein the display generated in step (e) includes a slider bar or graph to demonstrate cost changes with time.

25. The method of claim 17, further comprising the step of providing the administrator a current engagement chart presenting information on the current or estimated current engagement levels of a group.

26. The method of claim 25, wherein the current engagement chart indicates by percentage group members engaged in healthcare and group members identified as low risk.

27. The method of claim 26, wherein the current engagement chart indicates by percentage group members who routinely check health indications.

28. The method of claim 27, wherein the health indications are selected from blood pressure, pulse, weight and body mass index.

29. The method of claim 25, further comprising the step of providing the administrator an ideal cost/benefit level of engagement chart presenting an estimated ideal level of engagement levels.

30. The method of claim 29, wherein the levels of engagement are selected may the percentage of individuals who actively manage healthcare, regularly exercise, smoke or drink.