Service for managing medications

• US 8,121,861 B2
• Filed: 10/26/2009
• Issued: 02/21/2012
• Est. Priority Date: 03/23/2007
• Status: Active Grant

• Current Assignee: Sol A. Gonzalvo
• Original Assignee: Sol A. Gonzalvo
• Inventors: Gonzalvo, Sol A.
• Primary Examiner(s): RANGREJ, SHEETAL
• Application Number:
  US12/589,691
• Publication Number:
  US 20100088120A1
• Time in Patent Office: 848 Days
• Field of Search: 705 2- 3
• US Class Current: 705/2
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 30/02 Marketing; Price estimation or determination; Fundraising
• CPC Class Codes: G06Q 30/0239 Online discounts or incentives
• CPC Class Codes: G16H 20/10 relating to drugs or medications, e.g. for ensuring correct administration to patients
• CPC Class Codes: G16H 40/67 for remote operation
• CPC Class Codes: G16H 70/20 relating to practices or guidelines

Abstract

A health management system includes a computerized management site having one or more servers executing software from coupled computer-readable media, and a data repository storing information regarding a plurality of enrolled persons, including at least medications and medication schedules for individual ones of the persons, and storing information regarding a plurality of associate or partner entities comprising at least physicians. In this system persons, in enrollment, enter personal data and medication data, the service stores the data in the repository associated with each enrolling person entering the data, associates the person with one or more physicians and other partner entities whom also enter data in enrollment, and enables enrolled persons to share their individual medication data with associated physicians and other partner entities.

Claims

1. A health management system, comprising:

a computerized management site having a program stored on a non-transitory computer-readable medium statically embodied in and executable through one or more servers that stored multi-databases executing from a non-transitory computer-readable medium;

a data repository I for storing medical data regarding a member accessible only by primary password;

a data repository II for storing other personal data regarding a member accessible only by secondary password;

communication paths provided by the system at least between individual ones of registered partner entities and the data repository, wherein registered partner entities include physicians and medical facilities; and

an interactive interface to the system and accessible by the member through secure log-ins, including mechanisms enabling the member or its authorized representative to directly enter medical data or other personal data regarding the member and authorizations for use by individual ones of the partner entities of the data entered;

wherein, the member, through the interactive interface, is enabled to populate the data repository I with a list of medications and medication schedules for the member, and allergies to which the member may be subject, and, through authorizations, controls access to the medical data and/or to populate data repository II with other personal data by individual ones, the health management system further comprising;

(a) a health management screen display, allowing said enrolled members, members assigned authorized representative, associated physicians, and other partner entities data capture including;

i. enrolled members identifying data;

ii. allergies associated with said enrolled members;

iii. medications associated with said enrolled members;

iv. medications not to be prescribed with said enrolled members;

v. other personal information entered and viewable only by said enrolled members; and

(b) an alert system is provided that sends notifications to all member'"'"'s active physicians and member'"'"'s authorized representatives if new medications are prescribed, new appointments are scheduled and new laboratory tests are ordered; and

(c) a person to member follow-up reminder communication system between said system and said enrolled members having received any abnormal test results is implemented and continues said follow-ups until said abnormal test results are converted back to any acceptable or allowable results; and

(d) a printer provided to the member configured to view or print the list of users who have viewed, printed, downloaded any part of said member'"'"'s medical records data at any time at member'"'"'s choosing via a provided icon; and

(e) a fraud billing prevention system whereby;

i. members prior and current diagnoses are compared with that of the submitted third party billings;

ii. members prior and current procedures are compared with that of the submitted third party billings;

iii. members outpatient visits billed charges are checked for correct CPT codes assignments;

iv. submitting physicians status are checked to make sure they are still living and are legally licensed and able to practice medicine in the country;

v. create members paid database records comprising of paid medications, services rendered, equipment purchases which are then used to compare against a newer third party submitted billings;

vi. checks for the reasonableness of medication billing intervals for same medication, same service, same equipment submitted by third party billers.

2. The system of claim 1 wherein the computerized management system is Internet-connected, and members and associate and partner entities interact with the service through encrypted Internet connection.

3. The system of claim 1 wherein physicians associated with enrolled members are enabled to edit and alter medications and medication schedules for individual enrolled members with whom they are associated in the system, and alterations will be published by the system, subject to authorization by the enrolled member, with other physicians and associate and partner entities each also associated with the enrolled member.

4. The system of claim 3 wherein the member is enabled to enter allergies in general and allergies to medications, as well as medication data.

5. The system of claim 4 wherein, in any transaction changing medication data for an enrolled member, allergy data is consulted, and participants are alerted to any potential problem.

6. The system of claim 3 wherein the data repository stores information regarding potential interactions between medications and between medications and common foods and beverages, and, in any transaction changing medication data for an enrolled member, the potential interaction data is consulted, and participants are alerted to any potential problem.

7. The system of claim 6 wherein new members enrolling in the service, after entering their medication data, are informed of potential interactions between medications and potential effects of such interactions.

8. The system of claim 1 wherein enrolled members are enabled to enter and view other personal information by utilizing a secondary password.

9. The system of claim 1 further comprising a mechanism, including interactive interface, for a enrolled members to purchase medications, products and services from enrolled partner firms.

10. The system of claim 9 wherein enrolled members are afforded discounts for purchases from enrolled partner firms.

11. The system of claim 1 wherein the service provides email service to enrolled members and partners and associates.

12. The system of claim 9 wherein enrollment provides membership requiring a periodic membership fee, and discounts on the membership fee are afforded to enrolled members as reward for exceeding pre-set thresholds in purchasing medications, products and services from enrolled partner firms.

13. The system of claim 1 wherein the system seeks sources for medications, products and services from other than enrolled partners and associates.

14. The system of claim 13 wherein the system seeks sources for generic versions of medications.

15. The system of claim 1 wherein information regarding best times and circumstances for taking medications is stored, and provided to enrolled members according to the enrolled member'"'"'s medication data.

16. The system of claim 9 wherein the system provides accounting and billing services for enrolled members in the purchase of medications, products and services.

17. The system of claim 3 wherein a library of preventive medical and wellness programs are provided in assisting in the prevention of the recurrence of said enrolled members-medical conditions.

18. The system of claim 1 wherein the system provides the displaying, enlarging, audio or video of medication information components.

19. The system of claim 1 wherein the system authenticates physician status and requires the use of multiple passwords for prescribing new medications electronically.

20. The system of claim 1 wherein the system provides electronic monitoring system wireless or not, and wallet size print out of allergies and medication listing;

whereby health care cost can be reduced systematically through the implementation of various preventive health care and wellness programs, discounted medication purchases provided, and effective prevention of fraud in medical billing reimbursement network.