System for providing integrated healthcare management services

• US 20060282287A1
• Filed: 07/18/2005
• Published: 12/14/2006
• Est. Priority Date: 06/10/2005
• Status: Abandoned Application

• Current Assignee: Aeolin, LLC, Joseph Stern
• Original Assignee: Joseph Stern
• Inventors: McKinley, Laurence M., Cherry, Robert, Saar, Steve, Kortman, Daniel
• Application Number:
  US11/184,363
• Publication Number:
  US 20060282287A1
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 40/08 Insurance
• CPC Class Codes: G16H 10/20 for electronic clinical trials or questionnaires
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Abstract

A system for reducing the costs associated with providing medical care associated with the provision of specialized medical equipment and service is provided. In such a system a common management organization; a group of physicians; and a medical manufacturing, supply, and/or equipment company partner together to provide discounted medical supplies to a hospital or outpatient facility, thereby reducing costs across the healthcare system and creating additional resources within the current medical regulatory framework.

Claims

1. A regulatory compliant integrated healthcare system comprising:

a management entity;

a medical collective consisting of and owned by a plurality individual physicians wherein the management entity has an ownership stake in the medical collective and provides management services thereto;

at least one medical goods or services provider; and

a cooperative agreement between said management entity, said medical collective, and said at least one medical goods or services provider, the cooperative agreement comprising a sales agreement between the management entity and the at least one medical goods or services provider whereby the management entity acts as the sales agent for the medical goods or service provider, the medical goods or services provider pays a commission to the management entity based on the sales of said medical goods or services provider'"'"'s goods or services by the individual physicians of the medical collective and other physician'"'"'s clients, and wherein the management entity distributes dividends from said commission to the individual physicians of the medical collective based on said individual physicians equity position in the medical collective.

2. The healthcare system described in claim 1, wherein the cooperative agreement further comprises an intellectual property agreement between said medical collective and said medical goods or service provider such that intellectual property is freely exchangeable therebetween.

3. The healthcare system described in claim 1, wherein the management entity further operates as an intellectual property manager between the medical collective and the medical goods or services provider.

4. The healthcare system as described in claim 3 wherein the management entity as the intellectual property manager provides at least one service to one of either or both the medical collective or medical goods or services provider selected from the group consisting of representation of inventors in obtaining licenses, the provision of nondisclosure agreements, assistance with invention research, the creation of prototypes, and the prosecution of patent applications.

5. The healthcare system described in claim 1, wherein the management entity as sales representative negotiates prices between the medical goods or service providers and at least one external entity.

6. The healthcare system described in claim 1, wherein the external entity is selected from the group consisting of medical facilities, insurance companies, and third party payors.

7. The healthcare system described in claim 2, wherein the medical goods or services provider further pays commissions to the medical collective based on the use of intellectual property generated by members of the medical collective.

8. The healthcare system described in claim 1, wherein the system is compliant with all relevant provisions of the Social Security Act.

9. The healthcare system described in claim 8, wherein the relevant provisions of the Social Security Act are at least Stark II and the anti-Kickback Statute.

10. The healthcare system described in claim 1, wherein the cooperative agreement further comprises a clinical research agreement between the individual physicians of the medical collective such that the individual physicians within agree to provide a collective clinical research resource for external research studies.

11. The healthcare system described in claim 1, wherein the management entity further provides financial services to the medical collective.

12. The healthcare system described in claim 11, wherein the financial services are selected from the group consisting of pension plan administration, accounting services, billing services, collection services, and payroll services.

13. The healthcare system described in claim 1, wherein the management entity further provides practice management services to said collective.

14. The healthcare system described in claim 13, wherein the practice management services are selected from the group consisting of supply service, legal services and human resources services.

15. The healthcare system described in claim 1, wherein the management entity is further authorized to negotiate group prices for each physician within the collective for all external providers.

16. The healthcare system described in claim 1, wherein the cooperative agreement further comprises a custom order agreement, whereby individual physicians within the medical collective may directly order custom goods or services directly from the at least one goods or services provider at reduced costs.

17. The healthcare system described in claim 1, wherein the cooperative agreement further comprises an accounting agreement whereby purchases of goods or services from the goods or services provider paid for by a federal insurance program are not credited during calculation of the commission.

18. The healthcare system described in claim 1, wherein the cooperative agreement further comprises a fee schedule whereby a fixed price is set for each good or service offered to the individual physicians of the medical collective by the at least one goods or services provider.

19. A regulatory compliant integrated healthcare system comprising:

a management entity,

a medical collective consisting of and owned by a plurality individual physicians wherein the management entity has an ownership stake in the medical collective and provides management services thereto;

at least one medical goods or services provider; and

a cooperative agreement between said management entity, said medical collective, and said at least one medical goods or services provider, the cooperative agreement comprising;

a sales agreement between the management entity and the at least one medical goods or services provider whereby the management entity acts as the sales agent for the medical goods or service provider, the medical goods or services provider pays a commission to the management entity based on the sales of said medical goods or services provider'"'"'s goods or services by the individual physicians of the medical collective and other physician'"'"'s clients, and wherein the management entity distributes dividends from said commission to the individual physicians of the medical collective based on said individual physicians equity position in the medical collective;

an accounting agreement whereby purchases of goods or services from the goods or services provider paid for by a federal insurance program are not credited during calculation of the commission; and

a fee schedule whereby a fixed price is set for each good or service offered to the individual physicians of the medical collective by the at least one goods or services provider.

20. A method of providing healthcare comprising the steps of:

establishing a management entity;

establishing a medical collective owned jointly by a plurality of individual physicians wherein the management entity has an ownership stake in the medical collective and provides management services thereto;

forming a cooperative agreement between said management entity, said medical collective, and at least one medical goods or services provider to establish rights and responsibilities therebetween in procuring medical services and goods;

placing an order for at least one good or service by an individual physician through a hospital;

transferring said order from said hospital to the medical goods or services provider and said management entity;

shipping said medical goods or services from said medical goods or services provider to said individual physician at said hospital and billing said hospital;

calculating the total sales from all sales made by said medical goods or services provider generated by said management entity and said individual physicians of said medical collective;

paying a commission to said management entity from said medical goods or services provider based on the sales of said medical goods or services; and

distributing dividends from said commission to said individual physicians of the medical collective from said management entity based on said individual physicians equity position in the medical collective.

21. The method described in claim 20, wherein the cooperative agreement further comprises an intellectual property agreement between said medical collective and said medical goods or service provider such that intellectual property is freely exchangeable therebetween.

22. The method described in claim 21, wherein the management entity further operates as an intellectual property manager between the medical collective and the medical goods or services provider.

23. The method as described in claim 20 further comprising the step of promoting the procurement of intellectual property protection by the individual physicians of the medical collective by the management entity.

24. The method described in claim 20, further comprising the step of negotiating prices between the medical goods or service providers and at least one external entity through the management entity.

25. The method described in claim 24, wherein the external entity is selected from the group consisting of medical facilities, insurance companies, and third party payors.

26. The method described in claim 21, wherein the commissions is further based on the use of intellectual property generated by members of the medical collective.

27. The method described in claim 20, wherein the method is compliant with all relevant provisions of the Social Security Act.

28. The method described in claim 27, wherein the relevant provisions of the Social Security Act are at least Stark II and the anti-Kickback Statute.

29. The method described in claim 20, wherein the cooperative agreement further comprises a clinical research agreement between the individual physicians of the medical collective such that the individual physicians within agree to provide a collective clinical research resource for external research studies.

30. The method described in claim 20, wherein the management entity further provides financial services to the medical collective.

31. The method described in claim 30, wherein the financial services are selected from the group consisting of pension plan administration, accounting services, billing services, collection services, and payroll services.

32. The method described in claim 20, wherein the management entity further provides practice management services to said medical collective.

33. The method described in claim 32, wherein the practice management services are selected from the group consisting of supply service, legal services and human resources services.

34. The method described in claim 20, wherein the management entity further negotiates group prices for each physician within the medical collective for all external providers.

35. The method described in claim 20, wherein the cooperative agreement further comprises a custom order agreement, whereby individual physicians within the medical collective may directly order custom goods or services directly from the at least one goods or services provider at reduced costs.

36. The method described in claim 20, further comprising accounting for purchases of goods or services from the goods or services provider paid for by a federal insurance program such that such purchases are not credited during calculation of the commission.

37. The healthcare management system described in claim 20, further comprising setting a fee schedule whereby a fixed price is set for each good or service offered to the individual physicians of the medical collective by the at least one goods or services provider.

38. A method of providing healthcare comprising the steps of:

establishing a management entity;

establishing a medical collective owned jointly by a plurality of individual physicians wherein the management entity has an ownership stake in the medical collective and provides management services thereto;

forming a cooperative agreement between said management entity, said medical collective, and at least one medical goods or services provider to establish rights and responsibilities therebetween in procuring medical services and goods;

setting a fee schedule whereby a fixed price is set for each good or service offered to the individual physicians of the medical collective by the at least one goods or services provider;

placing an order for at least one good or service by an individual physician through a hospital;

transferring said order from said hospital to the medical goods or services provider and said management entity;

shipping said medical goods or services from said medical goods or services provider to said individual physician at said hospital and billing said hospital;

calculating the total sales from all sales made by said medical goods or services provider generated by said management entity and said individual physicians of said medical collective;

paying a commission to said management entity from said medical goods or services provider based on the sales of said medical goods or services;

distributing dividends from said commission to said individual physicians of the medical collective from said management entity based on said individual physicians equity position in the medical collective; and

accounting for purchases of goods or services from the goods or services provider paid for by a federal insurance program such that such purchases are not credited during calculation of the commission.