Data processing: financial – business practice – management – or co – Automated electrical financial or business practice or... – Insurance
Reexamination Certificate
2003-06-30
2009-12-29
Koppikar, Vivek D (Department: 3686)
Data processing: financial, business practice, management, or co
Automated electrical financial or business practice or...
Insurance
C705S002000, C705S003000, C600S300000, C600S301000
Reexamination Certificate
active
07640177
ABSTRACT:
A method for determining an optimal sharing mix in a shared savings prescription plan, the method includes identifying a first drug group and a second drug group, wherein the first drug group and the second drug group are formulary equivalents of each other and each include one or more prescriptions, determining a total cost to the first entity for the first drug group and an estimated total cost to the first entity for the second drug group, determining a savings rate associated with utilizing the second drug group versus the first drug group, determining a distribution amount as a function of the savings rate and the total cost to the first entity for the first drug group, and distributing the distribution amount to at least one of a first entity, a second entity, and a third entity based upon one or more predetermined percentages.
REFERENCES:
patent: 6434530 (2002-08-01), Sloane et al.
patent: 2001/0032134 (2001-10-01), Hardesty
United Healthcare's Prescription Drug Management Company Addes Three Blue Cross and Blue Shield Contracts, PR Newswire, Jul. 18, 1991, Dialog ID No. 01773461; Supplier 42227723.
www.aishealth.com/ManagedCare/BluesNews/BLU—Drug—Utlilization—Blues.html (published on May 25, 2006).
“Employers Can Control Prescription Drug Costs Through Innovative Plans” by Bernard Handel, published in Pension World, Apr. 1989, vol. 25, Issue 4, p. 14.
“Whither Medicare?” published in Intelligencer Journal of Lancaster, PA, Mar. 5, 2001—p. A6.
Income Tax Theories—The Laffer Curve—Who Pays How Much? http://bized.ac.uk/virtual/economy/policy/tools/income/inctaxth5.htm (1 p.); printed Apr. 8, 2002.
Basic Economic Theory Supply & Demand and the Laffer Curve http://home.rmci.net/cbolton/ECON.HTM (4 pp.); printed Apr. 8, 2002.
Koppikar Vivek D
The Webb Law Firm
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