Patent ID: 8799023
Filing Date: 2014-08-05
Classification: G06Q,G16H

Abstract:
1. An automated computerized method of customizing an individual participant's co-payment for a prescription medication, the method comprising: providing a healthcare data platform, the platform comprising detailed individual healthcare information for a participant requesting a medication, receiving information regarding a prescription for a medication prescribed to the participant; accessing the data platform to obtain medical history information of the participant including information regarding the one or more current health concerns of the participant and clinical implications of the prescription; based on at least the medical history information and the clinical implications of the prescription, determining a current clinical value of the medication to the individual participant for addressing the one or more current health concerns of the participant, wherein a medical and drug history of the individual participant that does not support use of the medication results in a lower clinical value, and wherein a medical and drug history that does support use of the medication results in a high clinical value, and wherein a lower clinical value determines a higher copayment and a high clinical value determines a lower copayment; accessing the data platform to obtain financial information associated with the participant including an income level associated with the participant, wherein a higher income level determines a higher copayment and a lower income level determines a lower copayment; determining a copayment amount for the participant requesting a medication based on both the determined current clinical value of the medication to the participant and the income level associated with the individual; and wherein all steps of the method are performed by a mass customization infrastructure comprising a healthcare data platform and one or more computing devices, and wherein the infrastructure automatically integrates, analyzes and mines participant-specific clinical and financial data to determine the copayment for the participant requesting a medication in order to enhance the quality of healthcare.