Abstract: A care plan management system (10) includes a server (12) including a content database (14) containing care management-related content including multiple revisions of at least some said content. Each content revision is tagged with temporal content revision information. A care plans storage (18) stores a plurality of patient care plans (21, 22, 23) associated with corresponding patients. Each patient care plan includes a selection of care management-related content to be presented to the patient, and a revision policy indicating which temporal revision of said content should be presented. User interfaces (31, 32, 33) are operatively connected with a communication interface (28) of the server (12) to receive and present the selected care management-related content.

Abstract: The present invention relates to a system and method for providing health care information to health care providers and for obtaining information pertaining to the practice of a health care provider by providing incentives for provision of such information.

Abstract: The present invention relates to a system and method for providing health care information to health care providers and for obtaining information pertaining to the practice of a health care provider by providing incentives for provision of such information.

Abstract: A virtual insurance producer Web site is provided at which a prospective insurance customer may request a bindable premium quotation for an insurance policy. If the policy may be underwritten, the Web site calculates a premium for the insurance policy. The premium is displayed to the prospective customer as a bindable quotation that binds the insurance company providing the policy and that may be purchased on-line immediately. The prospective customer may purchase the insurance policy according to the provided bindable premium quotation through the virtual insurance producer Web site. If the prospective customer elects to purchase the policy, the virtual insurance producer Web site may re-intermediate an insurance agent into the sales process and transmit the insurance policy to the customer in electronic form.

Abstract: Methods and systems related to long-term care insurance. Long-term care insurance policies are priced by stratifying potential purchasers according to risk factors which are explored during the underwriting process. In addition to coverage for long-term care, immediate health care benefits are provided to the purchasers in the form of an interactive health management program. The health management program may include contact between health care advisors and the availability of a wide range of health care services to provide positive health planning and resources to the policyholders. Underwriting and portions of the health management program may be provided through automation to reduce overhead expenses.

Abstract: The invention provides a method and system for communicating a vehicle user's medical information stored in a key device to medical caregivers via a wireless communications network. The method comprises receiving vehicle user medical information in a key device, transmitting the medical information from the key device to a storage unit within a vehicle and transmitting the stored medical information from a telematics unit to a call center responsive to an emergency event.

Abstract: A system and method for commercial food management. Nutritional information for identified food items is stored on a central server, along with recipes using the food items. Each recipe is assigned a diet type, and using the nutritional information, menus for a requested diet type are prepared.

Abstract: A particular system and methodology by which a drug or medical therapy regimen is defined for any particular patient in a manner that takes not only a drug or therapy's effectiveness into account, but also an entire spectrum of relevant clinical dimensions so as minimize the possibility of harmful interactions while simultaneously maximizing pharmacotherapy potential. Furthermore, as a consequence of its construction, no medically relevant rule can be overlooked by the reasoning system. The system and methodology utilizes a computerized dimensional indexing system implementing multiple databases and performs therapeutic determinations by symbolic structural reasoning with respect to database elemental indices.

Abstract: A medical consultation support system which transfers a structured request for consultation from a primary care physician's client computer to a supervisory host computer. The structured request together with any additional information related to the request, form a machine-readable collection of information. At the supervisory computer, the request is reviewed by a receiving staff physician who designates a specialist and retrieves supporting documentation related to the consultation request from databases of medical information. The supervisory computer then transmits the request for consultation and at least an identification of the selected supporting documentation to the selected specialist for review, and thereafter receives a comment from the selected specialist. The supervisory computer further stores the request for consultation and the comment as a structured case history item in the database of medical information.

Abstract: Systems and methods for use in settling mass tort claims are disclosed for determining insurance premiums for asymptomatic claimants in order to provide an insured defined monetary benefit in the event of a future emergence of critical injuries associated with exposure to injurious substances or conditions. Asymptomatic claimant risk classification data are entered for each settling claimant. Mortality and critical injury tables are determined. Durational probabilities of surviving without emergence of a covered critical injury are determined from a present date for each future insurance coverage year during the remaining life of the settling claimant. The durational probabilities are multiplied by the critical injury rates and then multiplied by the amounts of the specified monetary benefits. The premiums are then determined for a single claimant and on an aggregate basis for all claimants in any particular batch of mass tort claims settlements.

Abstract: A method and computerized system is disclosed for managing the underwriting, quoting and binding an insurance policy with regard to the technology used to militate against the financial consequences of property losses. The invention utilizes a classifier for categorizing and weighing risk, composed of data representing in an identified building, a first unmitigated insurance risk and a second insurance risk, based upon the use of certain technology. A plurality of such weights are summed such that the weights generate a minimized risk for a building structure under consideration. combinations of technologies, employed in existing building structures to a classification, which then permits an underwriter to establish a premium. In another aspect of the invention data structures representing the quantification of risk reduction attendant a given technology or product are chained into a plurality of decision trees that process a construction phase and a pruning phase.

Abstract: A method for assisting an individual to monitor, control and modify certain aspects of the individual's physiological status according to a preset physiological status goal comprising establishing the goal according to certain preselected physiological parameters, affixing a physiological monitoring device in proximity to the body of the individual, generating data indicative of one or more measured parameters of the individual using said device, and using the one or more measured parameters to determine status information indicative of the relative degree of achievement of the individual's performance with relation to the physiological status goal and providing the status information to the individual. Alternatively, the method may comprise providing, to the individual, information indicative of a suggested change in the individual's performance to assist the individual in the achievement of the physiological status goal.

Abstract: Methods and systems for providing claims data to a liability assesment program are provided. In one embodiment, data regarding a vehicle accident may be provided to a liability assessment program via a graphical user interface. The data may include information regarding one or more vehicles in the accident and an assessment of the vehicle accident. The data may be stored in a memory associated with the liability assessment program.

Abstract: The present invention relates to a system and method for providing health care information to health care providers and for obtaining information pertaining to the practice of a health care provider by providing incentives for provision of such information.

Abstract: An online insurance information system comprises an insurance quoting system, an agent contact system, agent systems, and customer systems. The agent contact system comprises a customer interfacing subsystem, a create contact engine, an agent interfacing subsystem, and a process contact engine. The customer interfacing subsystem is coupled to the quoting system and to a given one of the customer systems for receiving an online indication by a given customer of a desire to pursue a policy with a given agent. The given customer comprises a given contact. The create contact engine identifies the given agent system and saves in a database local to the agent contact system a personal insurance profile and contact information corresponding to the given customer. The agent interfacing subsystem coupled to the given agent system receives an online indication by the given agent of a desire to view, print, or modify the contact information.

Abstract: A method for using claims data to identify high-risk members of a healthcare plan is disclosed. In one embodiment, the present invention includes searching the plurality of claims of members selected by a filtering criteria to identify the presence of an intervention flag, to identify factors influencing care intervention, and identifying a medical episode driving the member's cost. In one embodiment, the intervention flag the medical episode are displayed in association with an identification of the member. In another embodiment, the member selection criteria includes selection based on the member's predicted future health care utilization.

Abstract: The present invention relates to a method of managing the business of a medical scheme wherein the provider of such medical scheme undertakes liability in return for a premium or contribution, and provides to members who pay such premiums or make such contributions, relevant health services, and/or assistance in defraying expenses incurred in connection with rendering such relevant health services. The improvement comprises in calculating a difference amount which is the amount of the premiums or contributions paid by a member to the medical scheme less the costs incurred on the member's behalf by the medical scheme. This difference amount is then accumulated in a health fund. At a predetermined point in time, if the balance in the health fund is positive, the member is paid out at least a portion of the balance in the health fund.

Abstract: A medical practice management system can be used to manage a medical practice. A medical practice management server communicates with a medical practice client user interface over a first network and communicates with a payor server over a second network. The medical practice management server receives information associated with a visit by a patient to the medical practice. Prior to using the information to create a claim, the medical practice management server automatically and repeatedly interacts with the information to ensure correct information by either applying one or more rules to the information or by performing one or more transactions with the payor server. The medical practice management server performs a correcting action in response to finding an error in the information and subsequently uses the information to create an insurance claim.

Abstract: A method and a system for matching medical condition information with medical resources are provided. Specifically, a plurality of medical resources such as, for example, practitioners, specialists, specialty hospitals, or any other medical or extended care providers may have information related thereto stored within a database on a computer network. The information may include information on specific medical conditions, such as, for example, diseases, disorders, or any other medical condition. Alternatively, the medical resource may include information on specific medical procedures in which the medical resource may have a specialty or may otherwise perform. An individual may access a website connected with the database and may enter information on medical conditions and/or medical procedures. A search of the database may then reveal specific medical resource categories and, thence, medical resources that may treat the medical condition or may perform the medical procedures chosen by the individual.

Abstract: An improved method and system to display messages, while processing insurance claims, using a messages table. The messages associated with the processing of insurance claims are primarily used to obtain inputs from the user of the claims processing computer system. Messages, which are typically displayed on a display screen, may include questions, answers, errors, warnings, and other text used with interactive claims processing. The messages are stored as message codes along with a corresponding message text in a messages table. The database, which includes the messages table is the repository and the lookup system for the message codes and the corresponding message texts. Each message code has a corresponding customizable message text, which may be specified at installation time. The application program requests display of specific messages by referring to its message code. The application program, thus, remains unaffected to changes in the corresponding customizable message texts.