METHOD FOR COMPETITIVE PRESCRIPTION DRUG AND/OR BIDDING SERVICE PROVIDER SELECTION

• US 20100145724A1
• Filed: 01/27/2010
• Published: 06/10/2010
• Est. Priority Date: 09/19/2003
• Status: Active Grant

• Current Assignee: The Tag Company US LLC
• Original Assignee: The Tag Company US LLC
• Inventors: KALIES, RALPH F. JR.
• Granted Patent: US 8,447,628 B2
• Time in Patent Office: Days
• US Class Current: 705/2
• CPC Class Codes: G06Q 30/08 Auctions
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients

Abstract

Unfilled prescriptions are submitted to a registry comprising pre-qualified pharmacies for a “reverse auction” in which the pharmacies bid for the opportunity to fill the prescription. The pharmacies are allowed to bid based on price and/or offering ancillary services. The auction may also be used to bid on supplying specified pharmaceutical cognitive services. The method may also include obtaining cost comparisons with generic substitutes or similar alternative pharmaceutical products. The system may further comprise automatically requesting a review by the prescriber for a list of similar substitutes or prior-authorization for third-party payers. The winner of the reverse auction is selected by the customer. A prescription benefits manager may offer options of a reverse auction, or non-auction fulfillment of the unfilled prescription in accordance with a benefit plan design.

Claims

1. A method for facilitating the delivery of prescription products or services, the method comprising the steps of:

providing a processing unit programmed with a rules engine to carry out the steps of the method;

providing a database for storage and retrieval of information by the processing unit;

providing a plurality of input/output devices for communication;

conveying, from a prescriber to a consumer, unfilled prescription information;

conducting a prescription needs assessment;

selecting one of a prescription benefits management process and a BIDRX process;

for the prescription benefits management process, the steps of;

conveying both the unfilled prescription information and information relating to the consumer to a prescription fulfillment provider;

conveying a co-payment from the consumer to the prescription fulfillment provider;

tendering the filled prescription to the consumer; and

conveying a remainder payment from the processing unit to the prescription fulfillment provider;

for the BIDRX process, the steps of;

communicating, from the consumer to the processing unit, the unfilled prescription information and consumer information;

communicating the unfilled prescription information from the processing unit to a plurality of pre-qualified prescription fulfillment providers;

conducting a reverse auction in which the pre-qualified prescription fulfillment providers communicate to the processing unit interactive and iterative bids to fill the unfilled prescription, each fulfillment provider receiving real-time feedback communications from the processing unit regarding the status and placement of their bids in comparison to other fulfillment providers, each fulfillment provider having the option of communicating to the processing unit amended bids that include at least one of new, lower prices and ancillary services in competition with the bids of other fulfillment providers to entice the consumer to select their bid;

providing a results communication from the processing unit to the consumer, the results communication including details of the final bid of each responding prescription fulfillment provider that made at least one bid to fill the prescription; and

,

allowing the consumer to select a winning bid by sending an instruction communication to the processing unit,

the communications between the consumer and the processing unit and the communications between the processing unit and the fulfillment providers being accomplished using input/output devices at each of the consumer, processing unit and fulfillment providers.

2. The method of claim 1, wherein the prescription is for at least one of:

drugs;

physical therapy;

laboratory or diagnostic services;

optical lenses;

surgery;

dental services;

dental devices;

orthodontic devices;

orthodontic services;

or, psychiatric services.

3. The method of claim 1, further including the step of allowing the prescriber to act as a proxy for the consumer.

4. The method of claim 1 wherein the prescription fulfillment provider is at least one of:

a pharmacist;

a physical therapist;

a laboratory technician;

a medical diagnostic device technician;

a surgeon;

a lens maker;

a dentist;

an orthodontist;

a physician;

a psychiatrist;

a psychologist; and

a social worker.

5. The method of claim 1 wherein the prescriber is any person authorized to order at least one of medical products, health related products, tests and services.

6. The method of claim 1 wherein the prescriber is at least one of:

a physician;

a surgeon;

an optometrist;

an optician;

a dentist;

an orthodontist;

a physical therapist;

a psychiatrist;

a psychologist;

a social worker; and

a veterinarian.

7. The method of claim 1, further comprising the step of setting a predetermined time limit to conclude the reverse auction.

8. The method of claim 7, further comprising the step of providing the consumer with the option of one of:

selecting the winning bid prior to the conclusion of the predetermined time limit at any time during the reverse auction; and

selecting the winning bid following conclusion of the predetermined time limit.

9. The method of claim 1, further including the step of providing the consumer with the option of selecting the winning bid at any time during the reverse auction.

10. The method of claim 1, further comprising the step of the processing unit notifying all responding prescription fulfillment providers of the consumer selection after the conclusion of the reverse auction.

11. The method of claim 1, further comprising the steps of:

the processing unit providing a reservation number and code key to the consumer after the conclusion of the reverse auction; and

the processing unit providing the reservation number to the responding prescription fulfillment provider with the winning bid.

12. The method of claim 1, further including the step of providing the prescription in physical form, the physical prescription remaining with the consumer until filled at the prescription fulfillment provider.

13. The method of claim 1, further including the step of allowing only prescription fulfillment providers that are at least one of within a specified service area and serving via mail order to bid in the reverse auction.

14. The method of claim 1, wherein the prescription information relating to the reverse auction is communicated electronically between the consumer and the processing unit, and between the processing unit and the prescription fulfillment providers.

15. The method of claim 14, wherein the electronic transfer is accomplished via an intranet, the Internet, or a combination of both.

16. The method of claim 1, further including the steps of:

storing, in the database, records containing information relating to the consumer for prescriptions obtained using at least one of the prescription benefits management process and the BIDRX process;

reviewing the records for potential problems; and

if a potential problem is detected, notifying at least one of the prescriber and the consumer of the potential problem.

17. A method for facilitating the delivery of prescription products or services, the method comprising the steps of:

providing a processing unit programmed with a rules engine to carry out the steps of the method;

providing a database for storage and retrieval of information by the processing unit;

providing a plurality of input/output devices for communication;

conveying, from a prescriber to a consumer, unfilled prescription information;

conducting a prescription needs assessment;

selecting one of a prescription benefits management process and a BIDRX process;

for the prescription benefits management process, the steps of;

conveying both the unfilled prescription information and information relating to the consumer to a prescription fulfillment provider;

conveying a co-payment from the consumer to the prescription fulfillment provider;

tendering the filled prescription to the consumer; and

conveying a remainder payment from the processing unit to the prescription fulfillment provider;

for the BIDRX process, the steps of;

communicating, from the consumer to the processing unit, the unfilled prescription information and consumer information;

communicating the unfilled prescription information from the processing unit to a plurality of pre-qualified prescription fulfillment providers;

conducting a reverse auction in which the pre-qualified prescription fulfillment providers communicate to the processing unit interactive and iterative bids to fill the unfilled prescription, each fulfillment provider receiving real-time feedback communications from the processing unit regarding the status and placement of their bids in comparison to other fulfillment providers, each fulfillment provider having the option of communicating to the processing unit amended bids that include at least one of new, lower prices and ancillary services in competition with the bids of other fulfillment providers to entice the consumer to select their bid;

setting a predetermined time limit to conclude the reverse auction;

providing the consumer with the option of selecting a winning bid at any time during the reverse auction;

providing a results communication from the processing unit to the consumer, the results communication including details of the final bid of each responding prescription fulfillment provider that made at least one bid to fill the prescription; and

,

allowing the consumer to select a winning bid by sending an instruction communication to the processing unit,

the communications between the consumer and the processing unit and the communications between the processing unit and the fulfillment providers being accomplished using input/output devices at each of the consumer, processing unit and fulfillment providers.

18. The method of claim 17, further comprising the step of the processing unit notifying all responding prescription fulfillment providers of the consumer selection after the conclusion of the reverse auction.

19. The method of claim 17, further comprising the steps of:

the processing unit providing a reservation number and code key to the consumer after the conclusion of the reverse auction; and

the processing unit providing the reservation number to the responding prescription fulfillment provider with the winning bid.

20. The method of claim 17, wherein the prescription information relating to the reverse auction is communicated electronically between the consumer and the processing unit, and between the processing unit and the prescription fulfillment providers.