Extending preventive health care into community-based settings
OwnerAristotle Mannaninventor
Life of this patent
Estimating the term…
Abstract
The present invention is generally related to a digital health platform useful in improving health care outcomes for the underserved population. More specifically, the present invention provides an inexpensive method and a system based on a digital health platform to connect “unreachable” Medicaid members, who are prone to become costlier “super-utilizer” patients, to preventive health care by their respective care management teams. The front end of the digital health platform of the present invention consists of a client management tool used at the community-based organizations. At the back end, this digital health platform links consenting Medicaid members identified at community-based organizations to their respective health care organizations for preventive health care
Claims15
A method for connecting unreachable Medicaid members to preventive health care in their respective medical home, comprising:
- (a) providing community-based organizations with client management software to collect and digitize data related to Medicaid members visiting community-based organizations;
- (b) training staff at community-based organizations in using the client management software and maintaining compliance requirements for collecting personal data;
- (c) obtaining consent from Medicaid members visiting community-based organizations for collecting and sharing their personal data;
- (d) collecting personal data from the Medicaid members visiting community-based organizations and transferring to a matching engine comprising enrollment data from Medicaid accountable and managed care organizations;
- (e) querying personal data collected at community-based organizations with enrollment data from Medicaid accountable and managed care organizations stored in the matching engine and identifying “unreachable” Medicaid members;
- and
- (f) notifying said Medicaid accountable and managed care organizations about the identification of unreachable Medicaid members.
A system for connecting unreachable Medicaid members to preventive health care in their respective medical home, comprising:
- (a) a plurality of electronic devices distributed at a plurality of community-based organizations for capturing longitudinal profiles of personal records of Medicaid members visiting said community based organizations in an electronic format;
- (b) a repository of enrollment data from Medicaid accountable and managed care organizations;
- (c) a matching engine to query the longitudinal personal data captured at community-based organizations with enrollment data from Medicaid accountable and managed care organizations stored in the repository for the purpose of identifying unreachable Medicaid members;
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- (d) an electronic means for notifying said Medicaid accountable and managed care organizations about the identification of the unreachable Medicaid members eligible for preventive health care.
A computer program product embodied on a computer readable storage medium for processing digital health records to identify unreachable Medicaid members comprising:
- (a) a computer code for receiving personal records of Medicaid members visiting community-based organizations and generating a longitudinal electronic personal record of said Medicaid members;
- (b) a computer code for receiving and storing electronic enrollment record of Medicaid members from accountable and managed care organizations in a central repository;
- (c) an algorithm for querying the electronic personal records in step (a) with electronic enrollment records or electronic claim record in step (b) for the purpose of identifying unreachable Medicaid members;
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- (d) an electronic means for alerting said accountable and managed care organizations about the identification of unreachable Medicaid members eligible for preventive health care.
Dependencies are inferred from the claim text.