SYSTEM AND METHOD FOR OPTIMIZING PARTICIPANT INTERACTION

• US 20110125534A1
• Filed: 11/29/2010
• Published: 05/26/2011
• Est. Priority Date: 05/29/2008
• Status: Abandoned Application

• Current Assignee: Alere Health LLC (UnitedHealth Group Incorporated)
• Original Assignee: Alere Health LLC (UnitedHealth Group Incorporated)
• Inventors: Rushton, Ian, DEAN, Deborah L.
• Application Number:
  US12/955,250
• Publication Number:
  US 20110125534A1
• Time in Patent Office: Days
• US Class Current: 705/3
• CPC Class Codes: G06Q 10/06 Resources, workflows, human or project management; Enterprise or organisation planning; Enterprise or organisation modelling
• CPC Class Codes: G16H 10/60 for patient-specific data, e.g. for electronic patient records
• CPC Class Codes: G16H 20/70 relating to mental therapies, e.g. psychological therapy or autogenous training
• CPC Class Codes: G16H 80/00 ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Abstract

A system and method for optimizing contacts with participants in a disease management and wellness program. The system includes a computer-readable memory means for storing at least one participant profile, input means for receiving data regarding the effectiveness of a contact attempt with the plan participant, and processing means for modifying the participant profile based on the data regarding the effectiveness of a contact attempt with the plan participant, wherein the data regarding the effectiveness of the contact attempt comprises statistical aggregates. The method includes the steps of making an initial contact attempt with the plan participant via a first communications means; determining an effectiveness of the first communications means; and making a subsequent contact attempt with the plan participant via a second communications means, the second communications means selected based on the determination of effectiveness of the first communications means, wherein the effectiveness of the contact attempt is determined from statistical aggregates.

Claims

1. A system for optimizing the mode of contact with a medical plan participant, on an instruction processing system, comprising a tangible storage medium readable by the instruction processing system and storing instructions for execution by the instruction processing system, said system comprising:

a computer-readable memory means for storing at least one participant profile;

input means for receiving data regarding the effectiveness of a contact attempt with the medical plan participant; and

processing means for modifying the at least one participant profile based on the data regarding the effectiveness of the contact attempt with the medical plan participant, wherein the data regarding the effectiveness of the contact attempt comprises statistical aggregates.

2. The system of claim 1, wherein the contact attempt utilizes a first communication channel, and wherein a second contact attempt utilizes a SMS message if the participant does not respond to a predetermined number of contact attempts using the first communication channel.

3. The system of claim 1, wherein the contact attempt utilizes a first communication channel, and wherein a second contact attempt utilizes a voice message if the participant does not respond to a predetermined number of contact attempts using the first communication channel.

4. The system of claim 1, further comprising:

a plurality of communication channels for the contact attempt, wherein the plurality of communication channels is selected from the group consisting of email, fax, text messaging, paper, phone, web-delivery, Outlook and Internet chat.

5. The system of claim 1, wherein the statistical aggregates further comprises:

a time delay from the contact attempt to a response for the medical plan participant; and

a number of the contact attempts required to prompt the response from the medical plan participant.

6. The system of claim 1, wherein the statistical aggregates further comprises:

a time delay from the contact attempt to a response for a plurality of medical plan participants with at least one similar characteristic; and

a number of the contact attempts required to prompt the response from the plurality of medical plan participants with the at least one similar characteristic.

7. The system of claim 1, wherein the statistical aggregates further comprises participant characteristics wherein the participant characteristics is selected from the group consisting of age, gender, geographic location, education level, job title, income level, marital status, medical conditions.

8. A method of optimizing contacts with a plan participant embodied in a computer program product for execution on an instruction processing system, comprising a tangible storage medium readable by the instruction processing system and storing instructions for execution by the instruction processing system for performing the method comprising:

making an initial contact attempt with the plan participant via a first communications means;

determining an effectiveness of the first communications means; and

making a subsequent contact attempt with the plan participant via a second communications means, the second communications means selected based on the determination of effectiveness of the first communications means, wherein the effectiveness of the contact attempt is determined from statistical aggregates.

9. The method of claim 8, wherein the contact attempt utilizes a first communication channel, and wherein a second contact attempt utilizes a SMS message if the participant does not respond to a predetermined number of contact attempts using the first communication channel.

10. The method of claim 8, wherein the contact attempt utilizes a first communication channel, and wherein a second contact attempt utilizes a voice message if the participant does not respond to a predetermined number of contact attempts using the first communication channel.

11. The method of claim 8, wherein the statistical aggregates further comprises:

a time delay from the contact attempt to a response for the medical plan participant; and

a number of the contact attempts required to prompt the response from the medical plan participant.

12. The method of claim 8, wherein the statistical aggregates further comprises:

a time delay from the contact attempt to a response for a plurality of medical plan participants with at least one similar characteristic; and

a number of the contact attempts required to prompt the response from the plurality of medical plan participants with the at least one similar characteristic.

13. The method of claim 8, wherein the statistical aggregates further comprises participant characteristics wherein the participant characteristics is selected from the group consisting of age, gender, geographic location, education level, job title, income level, marital status, medical conditions.

14. A computer program product for optimizing contacts with a plan participant embodied in a tangible storage medium readable by an instruction processing system and storing instructions for execution by the instruction processing system for performing a method comprising:

making an initial contact attempt with the plan participant via a first communications means;

determining an effectiveness of the first communications means; and

making a subsequent contact attempt with the plan participant via a second communications means, the second communications means selected based on the determination of effectiveness of the first communications means, wherein the effectiveness of the contact attempt is determined from statistical aggregates.

15. The computer program product of claim 14, wherein the contact attempt utilizes a first communication channel, and wherein a second contact attempt utilizes a SMS message if the participant does not respond to a predetermined number of contact attempts using the first communication channel.

16. The computer program product of claim 14, wherein the contact attempt utilizes a first communication channel, and wherein a second contact attempt utilizes a voice message if the participant does not respond to a predetermined number of contact attempts using the first communication channel.

17. The computer program product of claim 14, wherein the statistical aggregates further comprises:

a time delay from the contact attempt to a response for the medical plan participant; and

a number of the contact attempts required to prompt the response from the medical plan participant.

18. The computer program product of claim 14, wherein the statistical aggregates further comprises:

a time delay from the contact attempt to a response for a plurality of medical plan participants with at least one similar characteristic; and

a number of the contact attempts required to prompt the response from the plurality of medical plan participants with the at least one similar characteristic.

19. The computer program product of claim 14, wherein the statistical aggregates further comprises participant characteristics wherein the participant characteristics is selected from the group consisting of age, gender, geographic location, education level, job title, income level, marital status, medical conditions.