HEALTH CARE INCENTIVE APPARATUS AND METHOD
First Claim
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1. A method for adjusting a cost for a health care item purchased under a health care plan, the method comprising:
- receiving a request for the health care item; and
for at least one product option corresponding to the requested health care item;
receiving a total cost for the product option;
receiving a cost distribution for the total cost, wherein the cost distribution comprises a health care plan cost and one of more of a co-payment amount, a co-insurance amount, or a deductible amount;
receiving a coupon amount related to the product option;
adjusting one or more of the co-payment amount, the co-insurance amount, or the deductible amount based on the coupon amount;
adjusting the cost distribution based on the adjusted one or more of the co-payment amount, co-insurance amount, or deductible amount; and
delivering the adjusted cost distribution for the product option to a recipient.
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Abstract
An embodiment of the invention provides, among other things, a method for providing a cost modification of a health care item for a subject. In an example method, a request is received for a health care item from a point of purchase of the health care item. Cost adjustment data is received from at least one source. The cost adjustment data is used to determine a cost modification for the health care item. The cost modification is communicated to a point of purchase of the health care item.
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Citations
19 Claims
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1. A method for adjusting a cost for a health care item purchased under a health care plan, the method comprising:
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receiving a request for the health care item; and for at least one product option corresponding to the requested health care item; receiving a total cost for the product option; receiving a cost distribution for the total cost, wherein the cost distribution comprises a health care plan cost and one of more of a co-payment amount, a co-insurance amount, or a deductible amount; receiving a coupon amount related to the product option; adjusting one or more of the co-payment amount, the co-insurance amount, or the deductible amount based on the coupon amount; adjusting the cost distribution based on the adjusted one or more of the co-payment amount, co-insurance amount, or deductible amount; and delivering the adjusted cost distribution for the product option to a recipient. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A method for adjusting a cost for a health care item purchased under a health care plan, the method comprising:
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receiving a request for the health care item; and for at least one product option corresponding to the requested health care item; receiving a total cost for the product option; receiving a cost distribution for the total cost, wherein the cost distribution comprises a health care plan cost and one of more of a co-payment amount, a co-insurance, or a deductible amount; receiving subject compliance data; adjusting one or more of the co-payment amount, the co-insurance amount, or the deductible amount based on the compliance data; adjusting the cost distribution based on the adjusted co-payment amount, co-insurance amount, or deductible amount; and delivering the adjusted cost distribution for the product option to a recipient. - View Dependent Claims (13, 14, 15, 16, 17)
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18. An apparatus for adjusting a cost for a health care item, the apparatus comprising a non-transitory computer-readable medium containing computer-readable instructions for causing a computer to perform a method comprising:
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receiving a request for the health care item; receiving subject compliance data; and for at least one product option corresponding to the requested health care item; receiving a total cost for the product option; receiving a cost distribution for the total cost, wherein the cost distribution comprises a health care plan cost and one of more of a co-payment amount, a co-insurance amount, or a deductible amount; receiving a coupon amount related to the product option; adjusting one or more of the co-payment amount, the co-insurance amount, or the deductible amount based on the coupon amount and the subject compliance data; adjusting the cost distribution based on the adjusted one or more of the co-payment amount, co-insurance amount, or deductible amount; and delivering the adjusted cost distribution for the product option to a recipient. - View Dependent Claims (19)
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Specification