Methods and systems for calculating health care treatment statistics

Abstract

Systems and methods for calculating health care treatment statistics are provided. In one embodiment, a system comprises a data-holding subsystem storing raw medical claims data in non-transitory memory, and a logic subsystem configured to partition the raw medical claims data into a plurality of data sets based on one or more of insurance type, episode grouping, member key, date-of-service key, or a combination thereof, wherein the logic subsystem is further configured to calculate statistics based on each of the plurality of data sets and output correlated calculation results for display on a user device, and wherein the statistics include a frequency of patients receiving a health care service and an average cost of the health care service. In this way, a health care consumer may know what to expect for different treatment options for a given medical condition.

What is claimed is: 
     
         1 . A system, comprising:
 a data-holding subsystem storing raw medical claims data in non-transitory memory; and   a logic subsystem configured to partition the raw medical claims data into a plurality of data sets based on one or more of insurance type, episode grouping, member key, date-of-service key, or a combination thereof, the logic subsystem further configured to calculate statistics based on each of the plurality of data sets and output correlated calculation results for display on a user device, where the statistics include a frequency of patients receiving a health care service and an average cost of the health care service.