公开(公告)号：US20150032465A1

公开(公告)日：2015-01-29

申请号：US14320721

申请日：2014-07-01

Applicant: Express Scripts, Inc.

Inventor： Heather D. Sundar ,  David A. Tomala ,  Tina Lynn Bauman Butcher ,  Krista Lynn Theby ,  Robert F. Nease, JR. ,  Katherine Harini Sundararaman

IPC: G06F19/00

CPC classification number: G06F19/3481 ,  G06F19/3456

Abstract: Methods and systems for improving therapy adherence are described. In an embodiment, a disease state associated with a member is identified. A member classification of the member is determined. The member classification may be based on past therapy the member received to treat a condition associated with the disease state. A diagnostic loop is selected based on the disease state associated with the member and the member classification. The diagnostic loop may include a plurality of operations. At least one of the plurality of operations of the diagnostic loop is performed. Other methods and systems are described.

Abstract translation: 描述了改善治疗依从性的方法和系统。 在一个实施例中，识别与成员相关联的疾病状态。 确定会员的成员分类。 成员分类可以基于成员接受治疗与疾病状态相关的病症的过去治疗。 基于与成员相关的疾病状态和成员分类来选择诊断循环。 诊断循环可以包括多个操作。 执行诊断循环的多个操作中的至少一个。 描述其他方法和系统。

公开(公告)号：US10235729B1

公开(公告)日：2019-03-19

申请号：US13790090

申请日：2013-03-08

Applicant: Express Scripts, Inc.

Inventor： Jacob Jon Cedergreen ,  Katherine Harini Sundararaman ,  Christopher Ray Fowler

IPC: G06Q30/02 ,  G06Q50/22

Abstract: Methods and systems for managing pricing guarantees for prescription drugs are described. In one embodiment, a designation of a pharmacy within a pharmacy network may be received as a preferred pharmacy designation. The preferred pharmacy designation may be associated with a member. A set of preferred pharmacy benefits may be associated with the member and the preferred pharmacy designation. A pharmacy claim associated with the preferred pharmacy designation for a prescription for the member may be adjudicated based on the set of preferred pharmacy benefits. Other methods and systems are described.