RATING SYSTEM, PROCESS AND PREDICTIVE ALGORITHMIC BASED MEDIUM FOR TREATMENT OF MEDICAL CONDITIONS IN COST EFFECTIVE FASHION AND UTILIZING MANAGEMENT PATHWAYS FOR CUSTOMIZING OR MODIFYING OF A BASE ALGORITHM BY AN ACCOUNTABLE CARE ORGANIZATION OR OTHER PAYOR IN ORDER TO ESTABLISH BEST TREATMENT PROTOCOLS AND FINANCIAL ASSESSMENT TOOLS FOR INCENTIVIZING CARE PROVIDERS AND FOR ACHIEVING IMPROVED CLINICAL/FUNCTIONAL OUTCOMES

• Format: Patent
• Language: English
• Published: 11.06.2015

The present invention discloses a system, method and non-transitory software based computer writeable medium usable with a processor driven device for incentivizing service providers. A predictive algorithm which includes a series of protocols including a first protocol or subroutine for establishing a risk profile through stratifying a designated ACO population. A second subroutine operates by training the ACO doctors or other care providers in one or more of a series of medical related diagnosis and treatment programs. A third successive subroutine establishes one or more management pathways which are customizable by the ACO leadership and through establishing a questioning protocol for modifying/customizing the base algorithm for any one or more of a variety of treatment sub-species. A fourth subroutine provides care provider (e.g. doctor) feedback on the desired best practices for the given diagnosis and treatment sub-species resulting from the question and answer protocol achieved in the third subroutine. A fifth subroutine results in the creation (again by the ACO or other provider) of a scorecard for each individual care provider (doctor, therapist, etc.), such based primarily upon patient outcome assessment and accounting for patient complexities.