Inventors:
Madhavi Vemireddy - New York NY, US
Nik Nanis - Astoria NY, US
Kimberly Paul - Jersey City NJ, US
Kiran Ubriani - New York NY, US
Derek Jackson - New York NY, US
Mukesh Kitawat - Jersey City NJ, US
Assignee:
Active Health Management - New York NY
International Classification:
G06Q 50/22
Abstract:
A method and system is described for implementing patient care management functionality. The disclosure includes querying a set of clinical rules and obtaining claims data containing clinical information relating to a plurality of patients. The system can identify patients that would benefit from care management and create a listing of markers, or conditions, associated with each identified patient based on the claims data containing clinical information relating to the patient. The system generates an individual care plan for a patient base on the identified markers and the claims data containing clinical information relating to the patient.