OptumInsight Pays $12 Million for Patent Infringement

April 8, 2015
OptumInsight, an analytics-based subsidiary of the large payer, UnitedHealth Group, has been ordered to pay $12 million for a patent infringement to San Mateo, Calif.-based Cave Consulting.
OptumInsight, an analytics-based subsidiary of the large payer, UnitedHealth Group, has been ordered to pay $12 million for a patent infringement to San Mateo, Calif.-based Cave Consulting.
Specifically, Optum was dinged the $12 million because its Impact Intelligence software uses a pre-defined set of medical conditions to evaluate each specialty type, Cave Consulting said in a press release. The two companies both use products that create physician efficiency scores, with a California federal jury revealing that OptumInsight used Cave's methodology for evaluating specialties. 
“Cave Consulting Group has invested significant time and effort to determine and develop the most appropriate methods for obtaining reliable and stable physician efficiency scores, and we are relieved that the jury was willing to help us protect that hard work," Douglas Cave, Ph.D., the CEO of Cave Consulting, said in a statement. 
The two companies have battle over patent infringement issues in the past. Last year, Cave claimed that OptumInsight infringed on a patent pertaining to grouping claims data. 

Sponsored Recommendations

How Digital Co-Pilots for patients help navigate care journeys to lower costs, increase profits, and improve patient outcomes

Discover how digital care journey platforms act as 'co-pilots' for patients, improving outcomes and reducing costs, while boosting profitability and patient satisfaction in this...

5 Strategies to Enhance Population Health with the ACG System

Explore five key ACG System features designed to amplify your population health program. Learn how to apply insights for targeted, effective care, improve overall health outcomes...

A 4-step plan for denial prevention

Denial prevention is a top priority in today’s revenue cycle. It’s also one area where most organizations fall behind. The good news? The technology and tactics to prevent denials...

Healthcare Industry Predictions 2024 and Beyond

The next five years are all about mastering generative AI — is the healthcare industry ready?