Humana‘s patent involves a system and method for assessing the accuracy of diagnoses in health records. Healthcare providers can review and adjust weightings of dimensions to improve diagnosis assessment. The process includes receiving records, retrieving dimension values and weightings, calculating a veracity score, and providing a feedback tool for adjustment. GlobalData’s report on Humana gives a 360-degree view of the company including its patenting strategy. Buy the report here.

According to GlobalData’s company profile on Humana, AI for workflow management was a key innovation area identified from patents. Humana's grant share as of February 2024 was 49%. Grant share is based on the ratio of number of grants to total number of patents.

Optimizing veracity scores for diagnoses in patient records

Source: United States Patent and Trademark Office (USPTO). Credit: Humana Inc

A recently granted patent (Publication Number: US11875902B2) outlines a method and system for generating and optimizing veracity scores for diagnoses in patient records. The method involves electronically receiving a patient's health record, retrieving data representing dimensions and weighting values specific to the diagnosis, applying these values to a selected function to determine a veracity score, and displaying the score along with supporting reasoning on a visualization dashboard for healthcare providers. A veracity feedback tool allows providers to indicate agreement or disagreement with the diagnosis, automatically adjusting weighting values based on this feedback for future veracity score determinations. The system includes healthcare provider devices, data stores with health records, functions, dimensions, weighting values, and a diagnosis assessment unit to calculate veracity scores, a visualization dashboard generator, and a feedback processing system for user input on diagnosis veracity.

The system's innovative approach incorporates various dimensions such as the type of entity recording the diagnosis, physical location, date of diagnosis, related diagnoses, medications, procedures, and lab values to enhance the accuracy of veracity scores. By allowing healthcare providers to provide feedback on diagnoses, the system continuously refines weighting values for improved accuracy in subsequent veracity score determinations. The method also includes provisions for adding new diagnoses to a patient's health record based on predetermined veracity score thresholds. Overall, this patent introduces a comprehensive system that leverages data-driven insights to optimize the accuracy of diagnoses in patient records, ultimately enhancing the quality of healthcare delivery and decision-making processes.

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