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Method and system for healthcare benefit plan selection

机译:选择医疗福利计划的方法和系统

摘要

A method and system for healthcare benefit plan selection determines a healthcare consumer's projected/predicted healthcare service utilization for a defined timeframe using a personalized healthcare service utilization model created based on: general/demographic data associated with the healthcare consumer; the healthcare consumer's historical healthcare service utilization; and the healthcare consumer's personal health profile data. Data associated with the rules governing the operation and use of two or more candidate healthcare benefit plans is also obtained. The operation and rules of use are then applied to healthcare consumer's projected healthcare service utilization for the defined timeframe to create expected healthcare consumer experience model data under each of two or more candidate healthcare benefit plans. In one embodiment, comparison data and/or a plan recommendation is then provided to the healthcare consumer.
机译:用于医疗保健福利计划选择的方法和系统使用基于以下条件创建的个性化医疗保健服务利用模型来确定医疗保健消费者在定义的时间范围内的计划/预测的医疗保健服务利用:医疗保健消费者的历史医疗保健服务利用率;以及医疗保健消费者的个人健康档案数据。还获得与控制两个或多个候选医疗保健福利计划的操作和使用的规则相关联的数据。然后,将操作和使用规则应用于在定义的时间范围内的医疗保健消费者的预期医疗保健服务利用率,以在两个或多个候选医疗保健福利计划中的每个计划下创建预期的医疗保健消费者体验模型数据。在一个实施例中,然后将比较数据和/或计划推荐提供给医疗保健消费者。

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