SYSTEMS AND METHODS FOR PROVIDING HEALTH CARE CREDITS TO SUBSCRIBERS

• US 20130096932A1
• Filed: 10/14/2011
• Published: 04/18/2013
• Est. Priority Date: 10/14/2011
• Status: Abandoned Application

• Current Assignee: Stage 5 Innovation, LLC
• Original Assignee: Stage 5 Innovation, LLC
• Inventors: Saidel, Andrew M., Rosen, Davd K.
• Application Number:
  US13/273,366
• Publication Number:
  US 20130096932A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 30/0207 Discounts or incentives, e.g. coupons or rebates
• CPC Class Codes: G06Q 40/08 Insurance

Abstract

Systems and methods to manage health insurance are described. An individual can submit a request to enroll in a health insurance plan of an insurance provider. The individual can complete a health assessment with a health care provider associated with the insurance provider, and the insurance provider can review results of the health assessment to determine an amount of health care credits to award to the individual. An account servicer can manage a health care credits account associated with the individual. In implementations, the individual can be rewarded with additional health care credits on a periodic or event-driven basis, based on a health of the individual and other factors.

Claims

1. A method of encouraging healthy behavior by an individual, comprising:

determining a health level of the individual;

calculating, using a computing system, an amount of health care credits to award to the individual based on the health level; and

providing, to the individual and using the computing system, the amount of health care credits.

2. The method of claim 1, wherein determining the health level of the individual comprises:

receiving a result of a health assessment of the individual; and

comparing the result of the health assessment to a baseline health level to determine the health level.

3. The method of claim 2, wherein the baseline health level is a set of health metrics corresponding to a healthy person.

4. The method of claim 2, wherein the baseline health level is a set of health metrics corresponding to a health level previously determined for the individual.

5. The method of claim 1, wherein providing the amount of health care credits comprises:

depositing the amount of health care credits into an account of the individual.

6. The method of claim 1, further comprising:

receiving an indication of an additional amount of health care credits acquired by the individual.

7. The method of claim 1, further comprising:

calculating an amount of a premium payment for a health insurance policy based on the amount of health care credits provided to the individual, wherein the health insurance policy is funded with a combination of the amount of the premium payment and the amount of the health care credits; and

enrolling the individual in the health insurance policy.

8. The method of claim 1, further comprising:

appending a health care credits component to an existing health insurance policy of the individual; and

reducing a premium payment associated with the existing health insurance policy in response to appending the health care credits component.

9. The method of claim 1, further comprising:

enrolling the individual in a health insurance policy in response to providing the amount of health care credits to the individual, wherein the health insurance policy provides insurance that supplements the health care credits.

10. The method of claim 1, further comprising:

determining an additional health level of the individual;

comparing the additional health level of the individual to the health level;

calculating an additional amount of health care credits to award to the individual based on the comparing; and

providing the additional amount of health care credits to the individual.

11. A system for encouraging healthy behavior by an individual, comprising:

a computer readable storage medium containing instructions; and

a processor, operably connected to the computer readable storage medium, that executes the instructions to perform operations comprising;

determining a health level of the individual;

calculating an amount of health care credits to award to the individual based on the health level; and

providing, to the individual, the amount of health care credits.

12. The system of claim 11, wherein determining the health level of the individual comprises:

receiving a result of a health assessment of the individual; and

comparing the result of the health assessment to a baseline health level to determine the health level.

13. The system of claim 12, wherein the baseline health level is a set of health metrics corresponding to a healthy person.

14. The system of claim 12, wherein the baseline health level is a set of health metrics corresponding to a health level previously determined for the individual.

15. The system of claim 11, wherein providing the amount of health care credits comprises:

depositing the amount of health care credits into an account of the individual.

16. The system of claim 11, wherein the processor executes the instructions to perform operations further comprising:

receiving an indication of an additional amount of health care credits acquired by the individual.

17. The system of claim 11, wherein the processor executes the instructions to perform operations further comprising:

calculating an amount of a premium payment for a health insurance policy based on the amount of health care credits provided to the individual;

enrolling the individual in the health insurance policy in exchange for receiving the amount of the premium payment.

18. The system of claim 11, wherein the processor executes the instructions to perform operations further comprising:

determining an additional health level of the individual;

comparing the additional health level of the individual to the health level;

calculating an additional amount of health care credits to award to the individual based on the comparing; and

providing the additional amount of health care credits to the individual.

19. A method of encouraging healthy behavior, comprising:

examining, by a computing system, a result of a health assessment of an individual to determine a health level of the individual;

calculating, by the computing system, an amount of health care credits to award to the individual based on the health level of the individual; and

providing the amount of health care credits into an account of the individual.

20. The method of claim 19, further comprising:

examining a result of an additional health assessment of the individual subsequent to the health assessment to determine a subsequent health level of the individual relative to the health level;

calculating an additional amount of health care credits to award to the individual based on the subsequent health level; and

providing the additional amount of health care credits into the account.

21. The method of claim 19, further comprising:

enrolling the individual into a health insurance policy associated with the health care credits.

22. The method of claim 19, wherein examining the result of the health assessment comprises:

comparing the result of the health assessment to a set of baseline metrics.

23. The method of claim 22, wherein the set of baseline metrics corresponds to that of a healthy person.

24. The method of claim 22, wherein the set of baseline metrics corresponds to that of a person having the same age and gender as the individual.

25. The method of claim 19, further comprising:

receiving an indication of an additional amount of health care credits acquired by the individual; and

providing the additional amount of health care credits into the account of the individual.