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US 2014/0278456 A1Published application
Determining increased reimbursements resulting from an increase in a reimbursement parameter associated with a healthcare product
AssigneeMcKesson Corporation
InventorsRudy D. Milosevich, Sheila D. Miller
Life of this patent
Estimating the term…
Abstract
Systems, methods, and computer-readable media for performing filtering and selection processing to identify, from among healthcare products associated with increases in reimbursement rates for a reimbursement parameter, those products that are candidates for valuation processing, and for performing valuation processing for the candidate healthcare products. The valuation processing may include determining a value indicative of total increased reimbursements associated with a candidate healthcare product.
Claims22
A method, comprising:
- identifying, by a reimbursement valuation system comprising one or more computers, a healthcare product from a plurality of healthcare products;
- determining, by the reimbursement valuation system, that the healthcare product is a candidate healthcare product for reimbursement valuation, wherein determining that the healthcare product is a candidate healthcare product comprises:
- determining, by the reimbursement valuation system and based at least in part on healthcare claim transaction data, that the candidate healthcare product is associated with one or more first healthcare claim transactions and one or more second healthcare claim transactions, wherein each of the one or more first healthcare claim transactions is associated with a first reimbursement amount and each of the one or more second healthcare transactions is associated with a respective second reimbursement amount, wherein each respective second reimbursement amount is greater than the first reimbursement amount;
- and
- determining, by the reimbursement valuation system, a value indicative of an increase in total reimbursements associated with the candidate healthcare product based at least in part on the first reimbursement amount and each respective second reimbursement amount.
2 more elements
A system, comprising:
- at least one memory storing computer-executable instructions;
- and
- at least one processor configured to access the at least one memory and execute the computer-executable instructions to:
- identify a healthcare product from a plurality of healthcare products;
- determine that the healthcare product is a candidate healthcare product for reimbursement valuation, wherein determining that the healthcare product is a candidate healthcare product comprises:
- determining, based at least in part on healthcare claim transaction data, that the candidate healthcare product is associated with one or more first healthcare claim transactions and one or more second healthcare claim transactions, wherein each of the one or more first healthcare claim transactions is associated with a first reimbursement amount and each of the one or more second healthcare transactions is associated with a respective second reimbursement amount, wherein each respective second reimbursement amount is greater than the first reimbursement amount;
- and
- determining a value indicative of an increase in total reimbursements associated with the candidate healthcare product based at least in part on the first reimbursement amount and each respective second reimbursement amount.
5 more elements
One or more computer-readable media storing computer-executable instructions that responsive to execution cause operations to be performed comprising:
- identifying a healthcare product from a plurality of healthcare products;
- determining that the healthcare product is a candidate healthcare product for reimbursement valuation, wherein determining that the healthcare product is a candidate healthcare product comprises:
- determining, based at least in part on healthcare claim transaction data, that the candidate healthcare product is associated with one or more first healthcare claim transactions and one or more second healthcare claim transactions, wherein each of the one or more first healthcare claim transactions is associated with a first reimbursement amount and each of the one or more second healthcare transactions is associated with a respective second reimbursement amount, wherein each respective second reimbursement amount is greater than the first reimbursement amount;
- and
- determining a value indicative of an increase in total reimbursements associated with the candidate healthcare product based at least in part on the first reimbursement amount and each respective second reimbursement amount.
2 more elements
Dependencies are inferred from the claim text.