Systems and methods for determining an impact on spend and/or trend for a prescription drug plan

Systems and methods for determining an impact on spend and/or trend for a prescription drug plan are provided. In response to receiving the request to analyze spend and/or trend, a prescription drug spend and/or trend application may retrieve data related to the prescription drug plan from a databas...

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Hauptverfasser: Paul, Les, Foley, Amy, Ezrow, Brian F, Snow, Jr, David B, Berger, Ella, Epstein, Robert S, Bird, Beth, Jacks, Marianne, Anand, Tej, Caride, Vicente L
Format: Patent
Sprache:eng
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Zusammenfassung:Systems and methods for determining an impact on spend and/or trend for a prescription drug plan are provided. In response to receiving the request to analyze spend and/or trend, a prescription drug spend and/or trend application may retrieve data related to the prescription drug plan from a database. The analysis of spend and/or trend includes a determination of components of spend and/or trend having a significant impact on spend and/or trend. In one example, the spend and/or trend application may determine whether an option is available to improve at least one of the components having the significant impact on spend and/or trend. If an option is available, the impact (e.g., financial impact, member impact) of the implementation of the option on the prescription drug plan may be modeled by the spend and/or trend application.