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PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
TREATING
PATIENTS
PHARMACY
STAGES OF CARE
• Determine Diagnosis
• Determine Care Plan
• Activate Care Plan
• Maintain Care Plan
• Refer-Follow Patient
PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
TREATING
PATIENTS
PHARMACY
STAGES OF CARE
• Determine Diagnosis
• Determine Care Plan
• Activate Care Plan
• Maintain Care Plan
• Refer-Follow Patient
PLACES
TO PRACTICE
CLINICAL
OUT-PATIENT
HOSPITAL
IN-PATIENT
LAB
IMAGING
• Clinical Staff
• Admin Staff
• Clinical Staff
• Admin Staff
SERVICE PRESENTED TO PAYER
• Patient’s Insurance Contract
• Diagnostic Code / Billing Code
• Right to Bill / Referral
DIAGNOSTIC
SERVICES
PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
TREATING
PATIENTS
PHARMACY
STAGES OF CARE
• Determine Diagnosis
• Determine Care Plan
• Activate Care Plan
• Maintain Care Plan
• Refer-Follow Patient
PLACES
TO PRACTICE
CLINICAL
OUT-PATIENT
HOSPITAL
IN-PATIENT
LAB
IMAGING
• Clinical Staff
• Admin Staff
• Clinical Staff
• Admin Staff
SERVICE PRESENTED TO PAYER
• Patient’s Insurance Contract
• Diagnostic Code / Billing Code
• Right to Bill / Referral
DIAGNOSTIC
SERVICES
METHODS
TO PRACTICE
PROF/SPECIALTY
SOCIETIES
ACADEMIC
MEDICAL CTRS
MEDICAL RESEARCH
• Clinical Trials
• Published Research
• Conferences
PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
TREATING
PATIENTS
PHARMACY
STAGES OF CARE
• Determine Diagnosis
• Determine Care Plan
• Activate Care Plan
• Maintain Care Plan
• Refer-Follow Patient
PLACES
TO PRACTICE
CLINICAL
OUT-PATIENT
HOSPITAL
IN-PATIENT
LAB
IMAGING
• Clinical Staff
• Admin Staff
• Clinical Staff
• Admin Staff
SERVICE PRESENTED TO PAYER
• Patient’s Insurance Contract
• Diagnostic Code / Billing Code
• Right to Bill / Referral
DIAGNOSTIC
SERVICES
METHODS
TO PRACTICE
PROF/SPECIALTY
SOCIETIES
ACADEMIC
MEDICAL CTRS
MEDICAL RESEARCH
• Clinical Trials
• Published Research
• Conferences
CLAIMS
PORTAL
PAYMENT
PORTAL
BENEFITS
PORTAL
SELF-MONITORING
APPLICATIONS
BEHAVIOR-CHANGE
APPLICATIONS
PATIENT
MANAGEMENT
• Lab / Imaging
• Medication
• Medical History
• Schedule
PRACTICE
MANAGEMENT
• Diagnosis Code
• Billing Code
• Time In/Out
• Supplies
POINT OF CARE
• Clincial decision support
PATIENT
DOCTOR INSURER
PATIENT-DOCTOR-INSURER
HEALTHCARE ECOLOGY
MANAGING
MY HEALTH
• Medical History
• Visits
• Lab Results
• Medications
• Immunizations
HEALTH & WELLNESS
CONDITION MANAGEMENT
EMERGENCY SERVICES
HEALTH & WELLNESS
• Immunization
• Screening tests
• Physical/Dental/Vision checkup
• Diet / Exercise program
• Mental health
CONDITION MANAGEMENT
• Illness: treatment + follow-up
• Chronic disease: medication + measurement
• Pregnancy: treatment + follow-up
• Elective surgery: treatment + follow-up
• Mental health: treatment + follow-up
EMERGENCY SERVICES
• Accident response
• Ambulance
• Emergency room
PATIENT
ADVOCACY
GROUPS
• Research
• Support
• Policy
• Cure
PERSONAL
BIOMETRICS
• Family & Friends
• Websites
• Mobile Apps
HEALTH
INFORMATION
• Books & Magazines
• Websites
• Mobile Apps
PHARMACEUTICAL
MEDICAL
DEVICES
MEDICAL PRODUCTS &
SERVICES COMPANIES
• Medical Devices
• Drug Treatment
• Lab Testing
• Medical Imaging
Health & Human
Services
State Health
Laws
Food & Drug
Administration
MANAGING
MY INSURANCE
• Payments
• Deductable
• Max Out of Pocket
• Reimbursements
• FSA
MEDICARE
MEDICAID
EMPLOYER
BENEFITS
MANAGEMENT
BENEFITS PACKAGE
• Health
• Disability
• Life
• FSA
TREATING
PATIENTS
PHARMACY
STAGES OF CARE
• Determine Diagnosis
• Determine Care Plan
• Activate Care Plan
• Maintain Care Plan
• Refer-Follow Patient
PLACES
TO PRACTICE
CLINICAL
OUT-PATIENT
HOSPITAL
IN-PATIENT
LAB
IMAGING
• Clinical Staff
• Admin Staff
• Clinical Staff
• Admin Staff
SERVICE PRESENTED TO PAYER
• Patient’s Insurance Contract
• Diagnostic Code / Billing Code
• Right to Bill / Referral
DIAGNOSTIC
SERVICES
METHODS
TO PRACTICE
PROF/SPECIALTY
SOCIETIES
ACADEMIC
MEDICAL CTRS
MEDICAL RESEARCH
• Clinical Trials
• Published Research
• Conferences
CLAIMS
PORTAL
PAYMENT
PORTAL
BENEFITS
PORTAL
SELF-MONITORING
APPLICATIONS
BEHAVIOR-CHANGE
APPLICATIONS
PATIENT
MANAGEMENT
• Lab / Imaging
• Medication
• Medical History
• Schedule
PRACTICE
MANAGEMENT
• Diagnosis Code
• Billing Code
• Time In/Out
• Supplies
POINT OF CARE
• Clincial decision support
Electronic
Health
Records
CMS
Claims
Insurance
Claims
All Payer
Claims
Personnel
Records
Benefits
Claims
Payments
Clinical Data Quality Data
Personnel
Health Records
Biometrics
Genome
Records
Medical
Text

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Doctor patient-insurance 040213

  • 3. PATIENT DOCTOR INSURER PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY MANAGING MY HEALTH • Medical History • Visits • Lab Results • Medications • Immunizations HEALTH & WELLNESS CONDITION MANAGEMENT EMERGENCY SERVICES HEALTH & WELLNESS • Immunization • Screening tests • Physical/Dental/Vision checkup • Diet / Exercise program • Mental health CONDITION MANAGEMENT • Illness: treatment + follow-up • Chronic disease: medication + measurement • Pregnancy: treatment + follow-up • Elective surgery: treatment + follow-up • Mental health: treatment + follow-up EMERGENCY SERVICES • Accident response • Ambulance • Emergency room
  • 4. PATIENT DOCTOR INSURER PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY MANAGING MY HEALTH • Medical History • Visits • Lab Results • Medications • Immunizations HEALTH & WELLNESS CONDITION MANAGEMENT EMERGENCY SERVICES HEALTH & WELLNESS • Immunization • Screening tests • Physical/Dental/Vision checkup • Diet / Exercise program • Mental health CONDITION MANAGEMENT • Illness: treatment + follow-up • Chronic disease: medication + measurement • Pregnancy: treatment + follow-up • Elective surgery: treatment + follow-up • Mental health: treatment + follow-up EMERGENCY SERVICES • Accident response • Ambulance • Emergency room PATIENT ADVOCACY GROUPS • Research • Support • Policy • Cure PERSONAL BIOMETRICS • Family & Friends • Websites • Mobile Apps HEALTH INFORMATION • Books & Magazines • Websites • Mobile Apps PHARMACEUTICAL MEDICAL DEVICES MEDICAL PRODUCTS & SERVICES COMPANIES • Medical Devices • Drug Treatment • Lab Testing • Medical Imaging Health & Human Services State Health Laws Food & Drug Administration
  • 5. PATIENT DOCTOR INSURER PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY MANAGING MY HEALTH • Medical History • Visits • Lab Results • Medications • Immunizations HEALTH & WELLNESS CONDITION MANAGEMENT EMERGENCY SERVICES HEALTH & WELLNESS • Immunization • Screening tests • Physical/Dental/Vision checkup • Diet / Exercise program • Mental health CONDITION MANAGEMENT • Illness: treatment + follow-up • Chronic disease: medication + measurement • Pregnancy: treatment + follow-up • Elective surgery: treatment + follow-up • Mental health: treatment + follow-up EMERGENCY SERVICES • Accident response • Ambulance • Emergency room PATIENT ADVOCACY GROUPS • Research • Support • Policy • Cure PERSONAL BIOMETRICS • Family & Friends • Websites • Mobile Apps HEALTH INFORMATION • Books & Magazines • Websites • Mobile Apps PHARMACEUTICAL MEDICAL DEVICES MEDICAL PRODUCTS & SERVICES COMPANIES • Medical Devices • Drug Treatment • Lab Testing • Medical Imaging Health & Human Services State Health Laws Food & Drug Administration MANAGING MY INSURANCE • Payments • Deductable • Max Out of Pocket • Reimbursements • FSA MEDICARE MEDICAID EMPLOYER BENEFITS MANAGEMENT BENEFITS PACKAGE • Health • Disability • Life • FSA
  • 6. PATIENT DOCTOR INSURER PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY MANAGING MY HEALTH • Medical History • Visits • Lab Results • Medications • Immunizations HEALTH & WELLNESS CONDITION MANAGEMENT EMERGENCY SERVICES HEALTH & WELLNESS • Immunization • Screening tests • Physical/Dental/Vision checkup • Diet / Exercise program • Mental health CONDITION MANAGEMENT • Illness: treatment + follow-up • Chronic disease: medication + measurement • Pregnancy: treatment + follow-up • Elective surgery: treatment + follow-up • Mental health: treatment + follow-up EMERGENCY SERVICES • Accident response • Ambulance • Emergency room PATIENT ADVOCACY GROUPS • Research • Support • Policy • Cure PERSONAL BIOMETRICS • Family & Friends • Websites • Mobile Apps HEALTH INFORMATION • Books & Magazines • Websites • Mobile Apps PHARMACEUTICAL MEDICAL DEVICES MEDICAL PRODUCTS & SERVICES COMPANIES • Medical Devices • Drug Treatment • Lab Testing • Medical Imaging Health & Human Services State Health Laws Food & Drug Administration MANAGING MY INSURANCE • Payments • Deductable • Max Out of Pocket • Reimbursements • FSA MEDICARE MEDICAID EMPLOYER BENEFITS MANAGEMENT BENEFITS PACKAGE • Health • Disability • Life • FSA TREATING PATIENTS PHARMACY STAGES OF CARE • Determine Diagnosis • Determine Care Plan • Activate Care Plan • Maintain Care Plan • Refer-Follow Patient
  • 7. PATIENT DOCTOR INSURER PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY MANAGING MY HEALTH • Medical History • Visits • Lab Results • Medications • Immunizations HEALTH & WELLNESS CONDITION MANAGEMENT EMERGENCY SERVICES HEALTH & WELLNESS • Immunization • Screening tests • Physical/Dental/Vision checkup • Diet / Exercise program • Mental health CONDITION MANAGEMENT • Illness: treatment + follow-up • Chronic disease: medication + measurement • Pregnancy: treatment + follow-up • Elective surgery: treatment + follow-up • Mental health: treatment + follow-up EMERGENCY SERVICES • Accident response • Ambulance • Emergency room PATIENT ADVOCACY GROUPS • Research • Support • Policy • Cure PERSONAL BIOMETRICS • Family & Friends • Websites • Mobile Apps HEALTH INFORMATION • Books & Magazines • Websites • Mobile Apps PHARMACEUTICAL MEDICAL DEVICES MEDICAL PRODUCTS & SERVICES COMPANIES • Medical Devices • Drug Treatment • Lab Testing • Medical Imaging Health & Human Services State Health Laws Food & Drug Administration MANAGING MY INSURANCE • Payments • Deductable • Max Out of Pocket • Reimbursements • FSA MEDICARE MEDICAID EMPLOYER BENEFITS MANAGEMENT BENEFITS PACKAGE • Health • Disability • Life • FSA TREATING PATIENTS PHARMACY STAGES OF CARE • Determine Diagnosis • Determine Care Plan • Activate Care Plan • Maintain Care Plan • Refer-Follow Patient PLACES TO PRACTICE CLINICAL OUT-PATIENT HOSPITAL IN-PATIENT LAB IMAGING • Clinical Staff • Admin Staff • Clinical Staff • Admin Staff SERVICE PRESENTED TO PAYER • Patient’s Insurance Contract • Diagnostic Code / Billing Code • Right to Bill / Referral DIAGNOSTIC SERVICES
  • 8. PATIENT DOCTOR INSURER PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY MANAGING MY HEALTH • Medical History • Visits • Lab Results • Medications • Immunizations HEALTH & WELLNESS CONDITION MANAGEMENT EMERGENCY SERVICES HEALTH & WELLNESS • Immunization • Screening tests • Physical/Dental/Vision checkup • Diet / Exercise program • Mental health CONDITION MANAGEMENT • Illness: treatment + follow-up • Chronic disease: medication + measurement • Pregnancy: treatment + follow-up • Elective surgery: treatment + follow-up • Mental health: treatment + follow-up EMERGENCY SERVICES • Accident response • Ambulance • Emergency room PATIENT ADVOCACY GROUPS • Research • Support • Policy • Cure PERSONAL BIOMETRICS • Family & Friends • Websites • Mobile Apps HEALTH INFORMATION • Books & Magazines • Websites • Mobile Apps PHARMACEUTICAL MEDICAL DEVICES MEDICAL PRODUCTS & SERVICES COMPANIES • Medical Devices • Drug Treatment • Lab Testing • Medical Imaging Health & Human Services State Health Laws Food & Drug Administration MANAGING MY INSURANCE • Payments • Deductable • Max Out of Pocket • Reimbursements • FSA MEDICARE MEDICAID EMPLOYER BENEFITS MANAGEMENT BENEFITS PACKAGE • Health • Disability • Life • FSA TREATING PATIENTS PHARMACY STAGES OF CARE • Determine Diagnosis • Determine Care Plan • Activate Care Plan • Maintain Care Plan • Refer-Follow Patient PLACES TO PRACTICE CLINICAL OUT-PATIENT HOSPITAL IN-PATIENT LAB IMAGING • Clinical Staff • Admin Staff • Clinical Staff • Admin Staff SERVICE PRESENTED TO PAYER • Patient’s Insurance Contract • Diagnostic Code / Billing Code • Right to Bill / Referral DIAGNOSTIC SERVICES METHODS TO PRACTICE PROF/SPECIALTY SOCIETIES ACADEMIC MEDICAL CTRS MEDICAL RESEARCH • Clinical Trials • Published Research • Conferences
  • 9. PATIENT DOCTOR INSURER PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY MANAGING MY HEALTH • Medical History • Visits • Lab Results • Medications • Immunizations HEALTH & WELLNESS CONDITION MANAGEMENT EMERGENCY SERVICES HEALTH & WELLNESS • Immunization • Screening tests • Physical/Dental/Vision checkup • Diet / Exercise program • Mental health CONDITION MANAGEMENT • Illness: treatment + follow-up • Chronic disease: medication + measurement • Pregnancy: treatment + follow-up • Elective surgery: treatment + follow-up • Mental health: treatment + follow-up EMERGENCY SERVICES • Accident response • Ambulance • Emergency room PATIENT ADVOCACY GROUPS • Research • Support • Policy • Cure PERSONAL BIOMETRICS • Family & Friends • Websites • Mobile Apps HEALTH INFORMATION • Books & Magazines • Websites • Mobile Apps PHARMACEUTICAL MEDICAL DEVICES MEDICAL PRODUCTS & SERVICES COMPANIES • Medical Devices • Drug Treatment • Lab Testing • Medical Imaging Health & Human Services State Health Laws Food & Drug Administration MANAGING MY INSURANCE • Payments • Deductable • Max Out of Pocket • Reimbursements • FSA MEDICARE MEDICAID EMPLOYER BENEFITS MANAGEMENT BENEFITS PACKAGE • Health • Disability • Life • FSA TREATING PATIENTS PHARMACY STAGES OF CARE • Determine Diagnosis • Determine Care Plan • Activate Care Plan • Maintain Care Plan • Refer-Follow Patient PLACES TO PRACTICE CLINICAL OUT-PATIENT HOSPITAL IN-PATIENT LAB IMAGING • Clinical Staff • Admin Staff • Clinical Staff • Admin Staff SERVICE PRESENTED TO PAYER • Patient’s Insurance Contract • Diagnostic Code / Billing Code • Right to Bill / Referral DIAGNOSTIC SERVICES METHODS TO PRACTICE PROF/SPECIALTY SOCIETIES ACADEMIC MEDICAL CTRS MEDICAL RESEARCH • Clinical Trials • Published Research • Conferences CLAIMS PORTAL PAYMENT PORTAL BENEFITS PORTAL SELF-MONITORING APPLICATIONS BEHAVIOR-CHANGE APPLICATIONS PATIENT MANAGEMENT • Lab / Imaging • Medication • Medical History • Schedule PRACTICE MANAGEMENT • Diagnosis Code • Billing Code • Time In/Out • Supplies POINT OF CARE • Clincial decision support
  • 10. PATIENT DOCTOR INSURER PATIENT-DOCTOR-INSURER HEALTHCARE ECOLOGY MANAGING MY HEALTH • Medical History • Visits • Lab Results • Medications • Immunizations HEALTH & WELLNESS CONDITION MANAGEMENT EMERGENCY SERVICES HEALTH & WELLNESS • Immunization • Screening tests • Physical/Dental/Vision checkup • Diet / Exercise program • Mental health CONDITION MANAGEMENT • Illness: treatment + follow-up • Chronic disease: medication + measurement • Pregnancy: treatment + follow-up • Elective surgery: treatment + follow-up • Mental health: treatment + follow-up EMERGENCY SERVICES • Accident response • Ambulance • Emergency room PATIENT ADVOCACY GROUPS • Research • Support • Policy • Cure PERSONAL BIOMETRICS • Family & Friends • Websites • Mobile Apps HEALTH INFORMATION • Books & Magazines • Websites • Mobile Apps PHARMACEUTICAL MEDICAL DEVICES MEDICAL PRODUCTS & SERVICES COMPANIES • Medical Devices • Drug Treatment • Lab Testing • Medical Imaging Health & Human Services State Health Laws Food & Drug Administration MANAGING MY INSURANCE • Payments • Deductable • Max Out of Pocket • Reimbursements • FSA MEDICARE MEDICAID EMPLOYER BENEFITS MANAGEMENT BENEFITS PACKAGE • Health • Disability • Life • FSA TREATING PATIENTS PHARMACY STAGES OF CARE • Determine Diagnosis • Determine Care Plan • Activate Care Plan • Maintain Care Plan • Refer-Follow Patient PLACES TO PRACTICE CLINICAL OUT-PATIENT HOSPITAL IN-PATIENT LAB IMAGING • Clinical Staff • Admin Staff • Clinical Staff • Admin Staff SERVICE PRESENTED TO PAYER • Patient’s Insurance Contract • Diagnostic Code / Billing Code • Right to Bill / Referral DIAGNOSTIC SERVICES METHODS TO PRACTICE PROF/SPECIALTY SOCIETIES ACADEMIC MEDICAL CTRS MEDICAL RESEARCH • Clinical Trials • Published Research • Conferences CLAIMS PORTAL PAYMENT PORTAL BENEFITS PORTAL SELF-MONITORING APPLICATIONS BEHAVIOR-CHANGE APPLICATIONS PATIENT MANAGEMENT • Lab / Imaging • Medication • Medical History • Schedule PRACTICE MANAGEMENT • Diagnosis Code • Billing Code • Time In/Out • Supplies POINT OF CARE • Clincial decision support Electronic Health Records CMS Claims Insurance Claims All Payer Claims Personnel Records Benefits Claims Payments Clinical Data Quality Data Personnel Health Records Biometrics Genome Records Medical Text