Systems and methods for determining options for reducing spend and/or trend for a prescription drug plan

Systems and methods for determining options for reducing spend and/or trend for a prescription drug plan are provided. Based on an analysis of spend and/or trend for the prescription drug plan, a prescription drug spend and/or trend application may determine that an option is available to reduce spe...

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Hauptverfasser: SNOW, JR. DAVID B, JACKS MARIANNE, FOLEY AMY, PAUL LES, ANAND TEJ, EPSTEIN ROBERT S, BIRD BETH, EZROW BRIAN F, CARIDE VICENTE L, BERGER ELLA
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creator SNOW, JR. DAVID B
JACKS MARIANNE
FOLEY AMY
PAUL LES
ANAND TEJ
EPSTEIN ROBERT S
BIRD BETH
EZROW BRIAN F
CARIDE VICENTE L
BERGER ELLA
description Systems and methods for determining options for reducing spend and/or trend for a prescription drug plan are provided. Based on an analysis of spend and/or trend for the prescription drug plan, a prescription drug spend and/or trend application may determine that an option is available to reduce spend and/or trend. For example, an option may be provided that addresses a primary component of spend and/or trend as determined by the spend and trend application. In another example, an option may be provided that addresses a deviation by the prescription drug plan from a selected performance metric. In yet another example, an option may be provided that addresses a status change for a drug in a marketplace. The spend and/or trend application may optionally project an impact of an option on the prescription drug plan (e.g., financial impact, member impact) using a related model.
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DAVID B</au><au>JACKS MARIANNE</au><au>FOLEY AMY</au><au>PAUL LES</au><au>ANAND TEJ</au><au>EPSTEIN ROBERT S</au><au>BIRD BETH</au><au>EZROW BRIAN F</au><au>CARIDE VICENTE L</au><au>BERGER ELLA</au><format>patent</format><genre>patent</genre><ristype>GEN</ristype><title>Systems and methods for determining options for reducing spend and/or trend for a prescription drug plan</title><date>2012-02-07</date><risdate>2012</risdate><abstract>Systems and methods for determining options for reducing spend and/or trend for a prescription drug plan are provided. Based on an analysis of spend and/or trend for the prescription drug plan, a prescription drug spend and/or trend application may determine that an option is available to reduce spend and/or trend. For example, an option may be provided that addresses a primary component of spend and/or trend as determined by the spend and trend application. 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subjects CALCULATING
COMPUTING
COUNTING
DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FORADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORYOR FORECASTING PURPOSES
HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATIONTECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING ORPROCESSING OF MEDICAL OR HEALTHCARE DATA
INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTEDFOR SPECIFIC APPLICATION FIELDS
PHYSICS
SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE,COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTINGPURPOSES, NOT OTHERWISE PROVIDED FOR
title Systems and methods for determining options for reducing spend and/or trend for a prescription drug plan
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