HEALTH QUANT DATA MODELER WITH HEALTH CARE REAL OPTIONS ANALYTICS, RAPID ECONOMIC JUSTIFICATION, AND AFFORDABLE CARE ACT ENABLED OPTIONS

摘要

The present invention is applicable in the fields of finance, health care, employee benefits, math, and business statistics and was originated to provide real health-care decision analysis, risk analysis, and option analytics to corporate entities and individual participants, the need for which has arisen from what is collectively known as the Affordable Care Act (Patient Protection and Affordable Care Act as amended by the Health Care and Education Reconciliation Act of 2010). The present version of the Health Quant Data Modeler (HQDM) accounts for updates made necessary by the implementation of the Affordable Care Act, including additional applications for modeling, simulating, and analyzing the financial impact of the health-care real options for corporate entities with a minimal set of input assumptions for the purposes of a rapid economic justification and analysis.

主权项

1. A computer program product for providing health plan financial analysis with respect to employer sponsored insurance and non-insurance alternatives comprising:
a non-transitory computer-readable medium; and computer program code, encoded on the computer-readable medium, comprising computer-readable instructions for: determining premium tax credit eligibility status, premium tax credit amounts, cost sharing reduction eligibility and subsidies; determining employer and employee shared responsibility requirements; performing a detailed cost analysis for each option an employer studies in making their financial assessment toward the continuation, adjustment or termination of employer sponsored health-care coverage; receiving input assumptions, wherein said input assumptions are one or more employer-specific parameters entered that relate to the health-care coverage for the employees and dependents of the employer; calculating economic results, wherein said economic results detail the expansion of multiple employer health-care cost options based on the input assumptions; creating an indifference analysis graph, wherein a chart is plotted to provide a visual comparison of the economic results; computing simulation analytics, wherein risk simulation is used improve a confidence level in a choice of said one or more employer health-care cost options; calculating the employer tax shift, wherein the tax consequences to an employee are estimated based upon the selection of the termination of employer-sponsored health-care coverage option by the employer; determining employee income expansion, wherein said employee income expansion is the greater of actual employer-reported income and the income from the U.S. Census Bureau Economic Census data sourced by geography and number of dependents; determining premium tax credit calculation basis, wherein said premium tax credit calculation basis is selected between the total number of dependents or only the employee; and determining an allocation distribution model, wherein said allocation distribution model applies multiple methods of distributing savings generated by the health-care coverage option selected by the employer.