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Method and system for automated health care rate renewal and quality assessment

机译:自动更新医疗保健率和质量评估的方法和系统

摘要

A method is provided for automated managed health care enhanced rate renewal which utilizes a common electronic request package of specific and immutable format having locked embedded formulas to perform the necessary calculations and macros that tailor the package to suit information needs from individual providers. Submitted data is automatically compiled and stored in database using a data extraction tool integrated into the electronic form. The present invention advantageously allows evaluation of managed care providers for price and quality in a portfolio manner. In addition, the use of a common base electronic request form facilitates easy integration of data updates and modifications for all potential providers.
机译:提供了一种用于自动管理的保健费率更新的方法,该方法利用具有锁定嵌入公式的特定且不可变格式的通用电子请求包来执行必要的计算,并且对包进行调整以适合各个提供者的信息需求的宏。使用集成到电子表格中的数据提取工具,可以自动编译提交的数据并将其存储在数据库中。本发明有利地允许以投资组合方式评估管理式护理提供者的价格和质量。另外,使用通用的基本电子请求表有助于所有潜在提供者轻松集成数据更新和修改。

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