Reducing Health Disparities: A Health IT Solution

减少健康差异：健康 IT 解决方案

• 批准号: 8737310
• 负责人: Robert Albert Peterson
• 金额: $ 39.3万
• 依托单位: MY COVERAGE PLAN, INC.
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-06-15 至 2016-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8737310
• 关键词: Address; Age; Algorithms; American; Caring; Chronic Care; Client; Clinic; Commit; Communities; Competence; Complex; Computer software; Continuity of Patient Care; Costs and Benefits; Counseling; County; Decision Modeling; Electronics; Eligibility Determination; Enrollment; Ensure; Funding; Future; Health; Health Benefit; Health Care Reform; Health Personnel; Healthcare; Healthcare Systems; Hospitals; Insurance Carriers; Insurance Coverage; Interview; Language; Lawyers; Legal patent; Linguistics; Logic; Low income; Marketing; Measures; Medical; Mental Health; Minority; Monitor; Outcome; Parents; Patients; Phase; Population; Provider; Research; Risk; Role; Rural; Rural Health; Rural Hospitals; Sales; Secure; Services; Social Work; Solutions; Source; Staging; Substance abuse problem; Surveys; Technology; Testing; Training; Uncompensated Care; United States National Institutes of Health; Urban Hospitals; Wisconsin; base; clinical practice; commercialization; cost; design; disability; experience; health care cost/financing; health disparity; health literacy; improved; informant; patient population; product development; programs; prototype; public health relevance; research and development; satisfaction; screening; statistics; success; tool; usability

DESCRIPTION (provided by applicant): My Coverage Plan Inc. (MCP) proposes to use our newly patented technology to create a commercially viable and nationally replicable suite of software and services for health care providers and other social service agencies that reduces avoidable health disparities and increases provider reimbursements. The MCP health IT solution will help providers proactively identify coverage options for patients with health disparities and help them maintain coverage by generating an electronic health care coverage record. Many Americans lack adequate health care coverage, a statistic especially true of disparity populations. The lack of insurance coverage harms both patients and providers. Patients risk poor medical outcomes and high debt burdens. And providers who serve these patients seldom receive full reimbursement for the medical care provided. Health care systems typically pass these losses to paying consumers and insurers. MCP proposes to address health disparities by offering a replicable software and service package that allows providers to proactively, accurately, and efficiently identify and secure coverage for disparity patients. The complexity inherent with the implementation of health care reform only heightens the need for improved provider services for patients with disparities. During Phase I, MCP established proof of concept and built a prototype of the benefits eligibility screening software. Building on the success of Phase I research and development, MCP proposes the following three aims for Phase II: 1) Expand MCP's screening capacity to fully locate, rank and record optimal public and or private coverage options for disparity patients across the age and disability spectrum; 2) Test and refine the screening tool for cultural and linguistic competence, maximum accuracy, usability and national replication; 3) Demonstrate the positive impact for disparity patients and measure the cost benefits for providers of MCP's offering in multiple settings. MCP is well prepared to carry out this project. MCP's President, Robert "Bobby" Peterson is an attorney and health care financing expert with over 25 years of experience in understanding and navigating complex programs for low-income disparity populations. MCP's parent company, founded by Mr. Peterson, ABC for Health, Inc., has provided health benefits counseling to low-income and minority patients for more than 18 years. Partner, ABC for Health will provide health benefits expertise to inform product development and testing. Other MCP committed partners include urban and rural hospitals and providers that serve disparity populations in Wisconsin.

描述（由申请人提供）：我的覆盖计划公司。(MCP)建议使用我们的新专利技术，为医疗保健提供者和其他社会服务机构创建一套商业上可行的、可在全国复制的软件和服务，以减少可避免的健康差距，并增加提供者的报销。MCP健康IT解决方案将帮助医疗服务提供者主动识别健康差异患者的承保选项，并通过生成电子医疗保险记录来帮助他们维持承保范围。许多美国人缺乏足够的医疗保险，这一统计数据尤其适用于差距人口。缺乏保险覆盖对患者和提供者都有损害。患者面临医疗结果不佳和债务负担沉重的风险。为这些患者提供服务的提供者很少能获得所提供医疗服务的全额报销。医疗保健系统通常将这些损失转嫁给付费的消费者和保险公司。MCP建议通过提供可复制的软件和服务包来解决健康差异问题，该软件和服务包允许提供者主动、准确和有效地识别和确保差异患者的覆盖范围。实施保健改革的内在复杂性只会使改善提供者为有差异的病人提供服务的需要更加突出。在第一阶段，MCP建立了概念验证，并建立了福利资格筛选软件的原型。在第一阶段研究和开发成功的基础上，MCP为第二阶段提出了以下三个目标：1）扩大MCP的筛查能力，以充分定位、排名和记录不同年龄和残疾范围的患者的最佳公共和/或私人覆盖方案; 2）测试和完善筛查工具，以确保文化和语言能力、最大的准确性、可用性和全国复制; 3）展示对差异患者的积极影响，并衡量MCP在多种环境中提供者的成本效益。MCP为实施该项目做好了充分准备。MCP的总裁，罗伯特“鲍比”彼得森是一名律师和医疗保健融资专家，在理解和指导低收入差距人群的复杂计划方面拥有超过25年的经验。MCP的母公司，由彼得森先生创立，ABC健康公司，为低收入和少数民族患者提供健康福利咨询超过18年。合作伙伴ABC for Health将提供健康福利专业知识，为产品开发和测试提供信息。其他MCP承诺的合作伙伴包括城市和农村医院和供应商，为威斯康星州的差异人口提供服务。