Patent ID: 8112287

Claim:
A method for providing an option to improve a component of spend and trend for a prescription drug plan, comprising: receiving at a prescription drug plan computer system in communication with a user computing device and a database a request from the user computing device to process the spend and trend for the prescription drug plan, the prescription drug plan providing at least one of prescription drug benefits and prescription drug insurance coverage; in response to receiving the request, retrieving by the prescription drug plan computer system data related to the prescription drug plan from the database; processing by the prescription drug plan computer system the spend and trend for the prescription drug plan using the retrieved data, wherein the processing includes determining components of the spend and trend having a impact on the at least one of spend and trend; providing the user computing device with an indication of the components having the impact on the spend and trend, wherein the components comprise at least one of a therapeutic chapter, a disease or condition, and a per-member per-month trend; determining by the prescription drug plan computer system whether at least one option is available to improve at least one of the components having the impact; when the at least one option is available, providing an indication of the at least one option to the user computing device, wherein the option comprises at least one change to the prescription drug plan; receiving at the prescription drug plan computer system a request from the user computing device to simulate the at least one change to the prescription drug plan; processing by the prescription drug plan computer system a computer simulation model to the retrieved data, wherein the model comprises a plurality of calculations to simulate the at least one change to the prescription drug plan; and providing the user computing device with an indication of an impact on the prescription drug plan responsive to the at least one change, wherein the impact is based at least in part on the application of the model to the retrieved data; wherein the spend for the prescription drug plan comprises a cost of prescription drugs under the prescription drug plan, and the trend for the prescription drug plan comprises a rate of change in prescription drug spending for the prescription drug plan over time.