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US 2004/0107134 A1Published application
Reward based health care compensation system and method
OwnerJeff A. Nelson, Tony Anastasiainventors
Life of this patent
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Abstract
A business method which provides a financial incentive to health care providers who meet pre-established criteria. The method of determining the amount and the availability of the incentive payment is carried out with a methodology that also provides for return of the incentive payment if health care providing organizations do not qualify for the payment.
Claims3
A method of calculating the amount of and the availability of a reward incentive payment comprising:
- forming a partnership entity combining a reward health care partner (RHCP) with one or more employer/heath care purchasers (EHCP), of the type having employees or members;
- accepting financial commitments from the EHCP into the entity, establishing an interest in a reward pool;
- establishing performance criteria, and benchmarks for the reward payments from the reward pool;
- providing criteria, benchmarks and tools to participating health care providers (HCP) from the RHCP;
- determining by the HCP if the HCP performance exceeds the benchmark criteria resulting is a proposed RPP;
- notifying the RHCP when and if benchmark criteria are exceeded:
- auditing the HCP request by the RHCP and computing and remitting a performance reward payment to the HCP when the benchmark criteria are exceeded.
4 more elements
Dependencies are inferred from the claim text.