33 results about "Medical benefit" patented technology

A multi-purpose minimally invasive instrument having a small diameter elongated rod with a distal end that receives different interchangeable tools for a variety of uses, and also a handle used by an operator to control the interchangeable tool by manipulating the electricity it receives from a generator. The rod enters a cavity through a very small diameter telescopic port, which provides it with added support during its use. Interchangeable tools comprising imaging/surgical/sensing/electromagnet/radiofrequency/laser/heat-generating probes and/or other devices enter the cavity, supported by an introducer removed after tool attachment, one-at-a-time through a regular-size port that is concurrently used by an endoscope/camera. The instrument is adaptable for therapeutic, investigative, and/or other applications, in any space. An important medical benefit is the usage of many tools simultaneously while employing only one regular-size port and a very small diameter port for each additional tool used, which expedites patient recovery with excellent cosmetic outcome.

The present invention provides an interactive, electronic, knowledge-based ordering process for specialty/biotech pharmaceuticals (medically coded drugs) which results in less waste, improved procedural efficiencies, and greater cost savings than the current ordering systems. The knowledge-base of the system is based on the health plan's clinical policies as well as the status of the patient and their entitled benefits with the health plan, and it is applied in an interactive manner through a web-enabled system which provides a real-time, prospective examination and control over requests for authorization to dispense the medically coded drugs. The system also includes a feedback loop from the specialty pharmacies to provide information on the medicines that have actually been dispensed. The system also provides to the patient, educational material and adherence reminders to affect therapeutic outcomes.

A pharmacy benefits plan is designed such that covered scripts are placed into Groups and allowances are provided for the purchase of scripts within each Group. Each Group comprises scripts for pharmaceuticals that provide medical benefits within a given time frame. A first Major Group is assigned to scripts for drugs that are prescribed for conditions that would otherwise result in further medical treatment and expense if said drugs were not taken by an insured. A second Major Group is assigned to scripts for drugs that are prescribed for conditions that would not normally result in subsequent medical costs if the drugs were not taken. Relatively high allowances are provided for scripts in said first Major Group such that the out-of-pocket costs of a given script will not be a barrier to said insured obtaining and taking said scripts. Relatively low allowances are provided for scripts in said second Major Group such that an insured will be further motivated to ask their doctor about low cost alternative drugs for a given treatment.

The invention relates to a medical benefit fund actuarial prediction method and device. The method comprises the steps that historical basic medical insurance structure data, historical insured demographic data and historical medical expense data sent by a terminal are received; base year insured demographic data is acquired according to the historical insured demographic data, a historical insured demographic average growth rate is calculated, and a predicted year insured population is calculated according to the base year insured demographic data and the historical insured demographic average growth rate; predicted year medical benefit fund inflow is determined according to the predicted year insured population and the historical basic medical insurance structure data; predicted year medical benefit fund outflow is determined according to the predicted year insured population and the historical medical expense data; and when the predicted year medical benefit fund inflow is smaller than the predicted year medical benefit fund outflow, risk prompt information is sent to the terminal. Through the medical benefit fund actuarial prediction, medical benefit fund actuarial early warning analysis efficiency is greatly improved, and prediction precision is effectively guaranteed.

Systems and processes of comparing medical benefit options obtained from different, external sources are disclosed. The processes include a method of comparing plan benefits implemented in a computing system. The method includes: obtaining plan information associated with different plans from different external sources and which are related to pre-defined categories; normalizing the plan information into a common form for each of the pre-defined categories; and generating a visual display of a plurality of selectable and dynamically changeable areas each of which is associated with a pre-defined category of a different plan and which is populated with the normalized imported plan information in a standard format in a side-by-side manner.

A computer-assisted method for assisting a health advocate professional in counseling employees of a plan sponsor comprising receiving health records of employees of a plan sponsor, analyzing data in the records, displaying the analyzed data for any selected employee in dashboard format, calculating any health improvement options for the selected employee, and displaying the health improvement options in the form of questions to be asked by a health advocate professional viewing the displayed dashboard, preferably arranged in categories under spotlight buttons, and a computer system adapted to carry out the method. The method and system can also provide in some embodiments summary medical benefits usage information to plan sponsors, including costs, health improvement options, return on investment.

A self-insured or self funded medical benefit plan is provided by an employer wherein the self-insured medical benefit plan is governed by ERISA, and wherein the employer who is providing the medical benefit plan is 100 percent responsible for payment for medical services provided to an employee, receiving the benefit of the medical benefit plan, to a medical service provider for covered medical services and products. The medical benefit plan and method for providing the medical benefit plan determines a reasonable value for the medical services provided by a medical service provider to a participant of the plan, reprices a bill or claim from the medical service provider, and protects the participant/employee under ERISA from attempted collections of additional moneys that a medical service provider may believe is owed for the medical services but were not paid by the exemplary self insured medical benefit plan.

A compression device for medical treatment includes an upper colloid sheet, a lower colloid sheet, and a plurality of gas ports. The upper colloid sheet is stacked with the lower colloid sheet and welded, so as to form a plurality of isolated cells with welded walls, and each cell respectively corresponds to one of the gas ports. Therein, the welded walls that neighbors each cell extend diagonally along an angle that is between an x-axis direction and an y-axis direction, so that the welded walls extends from an edge of the upper colloid sheet and the lower colloid sheet to another edge of the upper colloid sheet and the lower colloid sheet. Per aforementioned, the compression device for medical treatment has diagonally formed cells, which results in compression from two directions, so that the medical benefits are increased.

The invention relates to a medical benefit fund expenditure balancing algorithm and a model. The algorithm comprises an expenditure algorithm and an earning algorithm. The expenditure algorithm comprises the steps that S11, the number of insured people is counted; S12, indicators of the number of insured people is calculated; S13, the growth rate of the indicators is calculated; S14, total expenditure is calculated; S15, medical pooling fund expenditure is calculated; and S16, total medical pooling fund expenditure is calculated. The earning algorithm comprises the steps that S21, the number of insured people is counted; S22, the payment base per capita is counted; S23, all indicators are calculated; S24, total payment is calculated; S25, single payment is calculated; S26, medical pooling fund earning is calculated; and S27, total medical pooling fund earning is calculated. The algorithm has the advantages that medical expenditure of urban employees in 1-5 years in the future can be calculated according to current policies or future policy planning, and the change process of the influence of all the indicators on medical pooling fund expenditure is obtained; all factors influencing fund profit and loss are considered comprehensively, and fund profit and loss in the future are calculated.

The invention discloses an actuarial early-warning system and method for a medical benefits fund, wherein the system and method are applied to a server connected to a medical insurance database system. The actuarial early-warning method comprises: medical insurance fund data are extracted from a medical insurance database system, screening and format conversion processing are carried out on the medical insurance fund data, and the processed medical insurance fund data are stored into a first data storage base; predicted and actuarial processing is carried out on the obtained medical insurance fund data to obtain a predicted actuarial result of the medical insurance fund data and the predicted actuarial result is transmitted to a second data storage base for storage; and the predicted actuarial result is compared with a preset range; when the predicted actuarial result exceeds the preset range, alarming information is generated and the predicted actuarial result and the alarming information are displayed on a display device. With the system and method, accuracy of predicted actuarial processing of the medical insurance fund is improved; and the operation safety of the medical insurance fund can be monitored and warned early effectively.

A method for providing post-retirement health-care benefits is provided. The method includes the steps of adopting a health reimbursement arrangement that includes a sponsor and a beneficiary, wherein the beneficiary is employed by the sponsor. A pension plan is adopted, wherein the pension plan includes an account. Funds are provided to the pension plan and the account while the beneficiary is employed by the sponsor. Funds are dispersed from the account to reimburse the beneficiary only for medical expenses. The funds are dispersed in response to determining that the beneficiary is no longer employed by the sponsor and that the medical expenses are qualified medical expenses.

The invention discloses a medical inflation compression device, which comprises an upper colloid sheet body, a lower colloid sheet body and a plurality of air nozzles. After the upper colloid sheet body and the lower colloid sheet body are stacked and sintered up and down, a plurality of spaced airbags are arranged around the sintered upper and lower sheet bodies, and each airbag is connected with a corresponding air nozzle, wherein a sintering wall adjacent to the airbags extends obliquely from a periphery of one of the upper and lower sheet bodies to the other corresponding periphery along an included angle between a X-axis direction and a Y-axis direction. Therefore, the medical inflation compression device has inclined airbags so as to obtain the compression from two directions, which can enhance the medical benefit.

The present invention provides an interactive, electronic, knowledge-based ordering process for specialty/biotech pharmaceuticals (medically coded drugs) which results in less waste, improved procedural efficiencies, and greater cost savings than the current ordering systems. The knowledge-base of the system is based on the health plan's clinical policies as well as the status of the patient and their entitled benefits with the health plan, and it is applied in an interactive manner through a web-enabled system which provides a real-time, prospective examination and control over requests for authorization to dispense the medically coded drugs. The system also includes a feedback loop from the specialty pharmacies to provide information on the medicines that have actually been dispensed. The system also provides to the patient, educational material and adherence reminders to affect therapeutic outcomes.

Provided is a system and method for educating medical practitioners as to why they should recommend the use of medical cannabis to their patients, how they can incorporate medical cannabis into their practices, how they can recommend the use of medical cannabis to their patients safely, efficiently, profitably, legally and without fear of professional liability, how patients can be directed to their practices, how the owner of the method or system can: i)consult with the medical practitioners to build and design a medical cannabis practice for them and provide initial operational training for them; and ii) jointly develop, own and operate a medical cannabis practice that is managed by the owner of the method or system. Also provided is a system and method for educating patients as to the medical benefits of cannabis, how they can qualify for their Medical Marijuana ID Cards, and how they can be referred to certain physicians and dispensaries. Further provided is a system and method for cannabis product growers, processors and sellers with access to the system to communicate directly with physicians and patients having access to the system and facilitate business with them. Also provided is a system and method for lawyers, insurers, electronic medical record service providers, and other vendors with access to the system to market their goods or services to medical cannabis practitioners, medical cannabis patients, and cannabis product growers, processors and dispensers. Also provided is a system to provide a database of all information relating to medical cannabis.

The invention is generally directed to methods of conducting transactions using a dual function card that is transacted amongst a processor in communication with a point of sale: receiving a message including: an indicia of the card and identifiers of goods; identifying a closed loop account and amount, a schedule of eligible goods, and an open loop account and amount; determining eligible goods and a purchase amount; comparing the purchase amount to the amount in the closed loop account, and if the purchase amount is less than or equal to value in the closed loop account, authorizing the transaction. Upon a determination that the purchase amount is less than the amount in the closed loop account, determining if the value in the open loop account is greater than or equal to the deficit, and if so, deducting all value from the closed loop account and the deficit from the open loop account.

Percutaneous musculoskeletal lavage devices, and procedures for simultaneous therapeutic and diagnostic purposes, performed with a needle or catheter and various combinations of a syringe, reciprocating syringe, stop-cock, check valves, depth indicator, compressive sleeve or brace, and specialty catheters, provided individually or in a kit. The lavage fluid can be analyzed for factors of medical interest and used to determine personalized treatment, and has intrinsic medical benefit by virtue of clearing the tissues of noxious substances in an enhanced fashion.

Embodiments relate to out-of-pocket cost determination for prescription drugs. In an embodiment, a computing device retrieves primary insurance pharmacy and medical benefits for a patient based at least in part upon patient-identifying information, receives a selection of either (i) a drug or (ii) a class of drugs to which the drug belongs, determines, for at least one drug in the class of drugs based on the received selection, whether any manufacturer co-pay cards are available, and calculates, before any drug in the class of drugs is prescribed to the patient, a patient-specific out-of-pocket cost to the patient for purchase of the at least one drug based on (i) the retrieved primary insurance pharmacy and medical benefits and (ii) any applicable discount due to the determined manufacturer co-pay card availability.

The invention discloses a traditional Chinese medicine formula for treating wart skin diseases. The traditional Chinese medicine formula is prepared from the following components: 25-30 g of radix isatidis; 25-30 g of folium isatidis; 25-30 g of herba portulacae; 25-30 g of radices lithospermi; 25-30 g of radix salviae miltiorrhizae; 25-30 g of radix sophorae flavescentis; 2000 ml of 75% alcohol.The invention discloses a method for preparing and using the traditional Chinese medicine formula. The preparation method has a simple process, low investment in equipment, low production cost, economic and environmental protection, and significant economic and social benefits. When using, a user only needs to dip a cotton swab into a filtrate of the traditional Chinese medicine formula to rub surface of the skin suffering from wart skin diseases. The method for using is simple and convenient. The invention provides a high-quality, inexpensive, convenient and safe formula for patients with wart skin diseases and the method for preparing and using the formula, and improves people's living standards.In addition, the prepared drug filtrate has a good therapeutic effect on wart skin diseases such as flat warts, common warts, and molluscum contagiosum, has strong generalizability, and has good medical benefits.

The movable track for barefoot walking is designed to provide healthy exercise and to prevent and heal chronic and casual diseases by walking in bare feet while executing a marathon on the movable track. The movable track for barefoot walking includes a movable/portable, lightweight, waterproof, fiberglass platform or base having a connected assembly of waling surface sections thereon. Each section has unique physical and medical benefits for use by a marathoner. The sections include: a first section having high and low areas of ground; a gravel and stone section; a sand section; a grass section; a water section; and a clay section. Provisions are made within the confines of the track for a water tank, pumping capabilities, clothing storage, bath facilities and appropriate controls.

A method of processing drug alternatives for a selected drug. The method includes receiving a selection of the selected drug and generating a drug alternatives list from source data, the drug alternative list including a plurality of drug alternatives. The method includes gaining access to a price model and at least one price data source. The method includes determining respective prices for the plurality of drug alternatives according to the price model and the at least one price data source and ranking the plurality of drug alternatives in the drug alternatives list according to respective ordinality and respective prices. The method includes suppressing ones of the plurality of drug alternatives lacking a desired clinical outcome from the drug alternatives list. The method includes filtering resultant drug alternatives by at least one parameter. The method includes transmitting the drug alternatives list to a user computing system for display.