Patents Assigned to EMBLEMHEALTH, INC.
  • Publication number: 20230274808
    Abstract: Disclosed are a method, a device, and/or a system of enhancing patient referral outcome through structuring data for efficient place of service utilization rate analysis. In one embodiment, a device extracts a set of utilization logs that each describe a type of facility from a log data structure modeling healthcare providers associated by referral logs. A referral request agent receives a referral profile generated for a patient. The referral profile is compared by a profile matching engine to the set of utilization logs. A dataset reduction subroutine generates a reduced dataset that is compared to a minimum threshold of healthcare providers to determine a sufficient number are within the reduced dataset. The utilization rate routine then calculates a POS utilization rate, and a healthcare provider is selected based on criteria including the POS utilization rate. The selection can be transmitted to a computing device of a healthcare provider.
    Type: Application
    Filed: May 5, 2023
    Publication date: August 31, 2023
    Applicant: EMBLEMHEALTH, INC.
    Inventors: TIMOTHY KELLY, Zoe Yang
  • Patent number: 11682475
    Abstract: Disclosed is a method, a device, a system and/or a manufacture of maximizing patient referral outcome through healthcare utilization and/or referral record evaluation. In one embodiment, a method includes generating a healthcare utilization log and/or referral log with a determined (POS) value and/or a type of service value. A referral request is generated, including a referral profile of a patient. A reduced dataset matching the referral profile is generated from a utilization dataset and/or a referral dataset. The method then calculates a POS utilization rate, an inbound re-referral rate, and/or additional values of a healthcare provider represented in the reduced dataset. A utilization ruleset and/or a referral ruleset is applied to score and/or rank the healthcare provider. A referral data including a UID of the healthcare provider is transmitted over a network from a server to a computing device running a point-of-care application. The referral is selected and automatically scheduled.
    Type: Grant
    Filed: February 26, 2020
    Date of Patent: June 20, 2023
    Assignee: EMBLEMHEALTH, INC.
    Inventors: Timothy Kelly, Zoe Yang
  • Publication number: 20210265030
    Abstract: Disclosed is a method, a device, a system and/or a manufacture of maximizing patient referral outcome through healthcare utilization and/or referral record evaluation. In one embodiment, a method includes generating a healthcare utilization log and/or referral log with a determined (POS) value and/or a type of service value. A referral request is generated, including a referral profile of a patient. A reduced dataset matching the referral profile is generated from a utilization dataset and/or a referral dataset. The method then calculates a POS utilization rate, an inbound re-referral rate, and/or additional values of a healthcare provider represented in the reduced dataset. A utilization ruleset and/or a referral ruleset is applied to score and/or rank the healthcare provider. A referral data including a UID of the healthcare provider is transmitted over a network from a server to a computing device running a point-of-care application. The referral is selected and automatically scheduled.
    Type: Application
    Filed: February 26, 2020
    Publication date: August 26, 2021
    Applicant: EMBLEMHEALTH, INC.
    Inventors: Timothy Kelly, Zoe Yang