PATENT CLAIM ANALYSIS

Application Number: 16405408
Application Type: Utility
Filing Date: 2019-05
Publication Date: 2019-08
Patent Classification: ["705", "002000"]

Abstract:
A method of optimizing healthcare services consumption according to the invention includes the steps of assessing the healthcare situation of an employer providing healthcare benefits to a population, identifying a first group of patients from the population likely to generate expensive healthcare claims based on data representing past claims, periodically determining whether patients in the first group have satisfied certain predetermined healthcare requirements, identifying a first group of providers who provide high quality, cost efficient healthcare services based on the practice patterns of the providers, prompting patients who have not satisfied the predetermined healthcare requirements to obtain services from providers in the first group, and responding to healthcare requests from patients by determining whether the requesting patient is seeking services from a provider in the first group, and, if not, urging the patient to obtain such services from a provider in the first group.

Claim (Index 18):
A method of optimizing healthcare services consumption, comprising:\n (A) assessing a healthcare situation of a population of patients that reside and consume healthcare services in a geographic zone consisting of a plurality of geographic regions, each region including at least one of a residential address of a patient in the population and a location of a provider who services patients in the population, wherein assessing the healthcare situation includes (i) using a computing device to execute software to access a database containing data relating to the patients and providers who service the patients, (ii) associating with the computer an address of each patient with a geographic region, (iii) associating with the computer a location of each provider with a geographic region, and (iv) aggregating with the computer the geographic regions associated in steps (ii) and (iii) above into the geographic zone; (B) using a computing device to transform past healthcare claims data generated by the patients into data representing a first group of patients likely to have higher consumption of healthcare services than other patients in the population; (C) using a computing device to transform past practice patterns data generated by the providers in the geographic zone who provide services to the patients into data representing a first group of providers who satisfy at least one quality-based criterion; and (D) using an electronic communication device to contact a patient before the patient consumes services to urge the patient to obtain the services from a provider in the first group of providers.

Metadata:
- Claim Count in Document: 6.0
- Percentile: 100.0
- Lexical Diversity: 2.2
- Patent Class: 705.0
- Transitional Phrase Type: open
- Component Type: 1
- Foreign Priority: False
- Related Applications: ['10313370', '12773334', '13178174', '15584664', '11447627']

Analysis Scores:
- 35 USC 101 Eligibility (BERT): 0.1394834207902248
- 35 USC 102 Novelty (BERT): 0.5945645726828289
- Combined Prediction Score: 0.1849915359794852
- Mean Citation Score: 462.20940999999993
- Max Citation Score: 527.3645
- Similarity Product: 451.7227266192437

Labels:
- Claim Label 101: 0
- Claim Label 102: 1
- Claim Label 103: 0
- Claim Label 112: 1
- Combined Label: 0
- Label 101 Adjusted: 0

Dataset: test