System and Methods for Providing Incentives for Health Care Providers
First Claim
1. A method for providing a benefit to a health care provider comprising:
- identifying at least one health care provider, wherein the identification comprises at least one of;
an identifier associated with the provider and the name of the provider;
identifying at least one patient, wherein the identification comprises at least one of;
an identifier associated with the patient and the name of the patient;
designating at least one adherence activity that said patient is to perform wherein said adherence activity is consistent with a preventative or therapeutic treatment prescribed by said health care provider;
designating a provider benefit amount for said provider wherein said provider benefit amount is associated with the performance of said adherence activity by said patient;
establishing a provider benefit account that is associated with said provider wherein said provider benefit account is associated with a provider benefit account identifier;
verifying the performance of said adherence activity by said patient;
calculating a provider benefit amount for said provider based, at least in part, on the performance of said adherence activity by said patient; and
crediting said calculated provider benefit amount to said provider benefit account.
1 Assignment
0 Petitions
Accused Products
Abstract
A system and method is disclosed whereby a health care provider is offered a benefit in exchange for the performance of specified activities of a patient. The patient activities may take the form of a purchase of prescribed or recommended products or services, such as prescription drugs, undergoing prescribed or recommended health care procedures, or participation in health-oriented programs or activities, such as a specified exercise regimen. In one embodiment, a benefit is provided to a health care provider upon verification of the adherence of a patient to a specified health-related activity. In one embodiment a benefit is provided to both a provider and a patient upon verification of the patient'"'"'s adherence to a specified health-related activity. In one embodiment, patient adherence is facilitated by distributing benefit cards to patients wherein the benefit card identifies the patient as registered in an adherence program and is associated with a benefit account for receiving program benefits. In one embodiment, the benefit card account is associated with the patient'"'"'s health or prescription insurance account so as to verify adherence using claims submitted to the patient'"'"'s health insurer. In one embodiment, the benefit card operates as a payment card allowing the cardholder to redeem benefits.
48 Citations
20 Claims
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1. A method for providing a benefit to a health care provider comprising:
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identifying at least one health care provider, wherein the identification comprises at least one of;
an identifier associated with the provider and the name of the provider;identifying at least one patient, wherein the identification comprises at least one of;
an identifier associated with the patient and the name of the patient;designating at least one adherence activity that said patient is to perform wherein said adherence activity is consistent with a preventative or therapeutic treatment prescribed by said health care provider; designating a provider benefit amount for said provider wherein said provider benefit amount is associated with the performance of said adherence activity by said patient; establishing a provider benefit account that is associated with said provider wherein said provider benefit account is associated with a provider benefit account identifier; verifying the performance of said adherence activity by said patient; calculating a provider benefit amount for said provider based, at least in part, on the performance of said adherence activity by said patient; and crediting said calculated provider benefit amount to said provider benefit account. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. A method for providing a benefit to a health care provider and a patient comprising:
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Identifying at least one health care provider, wherein the identification comprises at least one of;
an identifier associated with the provider and the name of the provider;Identifying at least one patient, wherein the identification comprises at least one of;
an identifier associated with the patient and the name of the patient;designating at least one adherence activity that said patient is to perform wherein said adherence activity is consistent with a preventative or therapeutic treatment prescribed by said health care provider; designating a provider benefit amount for said provider wherein said provider benefit amount is associated with the performance of said adherence activity by said patient; designating a patient benefit amount for said patient wherein said patient benefit amount is associated with the performance of said adherence activity by said patient; establishing a provider benefit account that is associated with said provider wherein said provider benefit account is associated with a provider benefit account identifier; establishing a patient benefit account that is associated with said patient wherein said patient benefit account is associated with a patient benefit account identifier; verifying the performance of said adherence activity by said patient; calculating a provider benefit amount for said provider based, at least in part, on the performance of said adherence activity by said patient; calculating a patient benefit amount for said patient based, at least in part, on the performance of said adherence activity by said patient; crediting said calculated provider benefit amount to said provider benefit account; and crediting said calculated patient benefit amount to said patient benefit account. - View Dependent Claims (19)
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20. A system for providing an incentive benefit to a provider and a patient for a patient'"'"'s performance of an adherence activity, the system comprising:
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a computer readable medium, the computer readable medium storing computer readable code executable to provide; means for registering adherence programs from program sponsors, wherein said programs include at least provider eligibility criteria, patient eligibility criteria, patient adherence activity eligibility criteria, criteria for verification of patient adherence activity, and a benefit amount; means for registering eligible providers; means for establishing a provider benefit account; means for registering eligible patients; means for establishing a patient benefit account; means for receiving data indicating a patient'"'"'s performance of an adherence activity; means for determining if the patient is eligible to receive a benefit, based at least in part on the adherence activity and the adherence program eligibility criteria; means for determining if the provider is eligible to receive a benefit, based at least in part on the adherence activity and the adherence program eligibility criteria; and means for crediting a provider benefit account.
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Specification