Dynamic Copayment Adjustment for Cost-Effective Medication Therapy
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Solution Overview
Problem
Physicians face information overload in adhering to cost-effective medication guidelines due to the sheer volume of medical journal articles and lack of time to absorb and apply this information, leading to unsustainable drug-related healthcare costs.
Innovation Solution
A system dynamically adjusts patient copayments based on clinical circumstances and patient attributes using structured electronic medical records, medication formularies, and cost-effectiveness analysis to provide physicians with patient-specific, cost-effective medication options.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If physicians review all available medical journal articles and guidelines, then medication cost-effectiveness is improved, but time consumption increases significantly
Solution Approach 1:
The patent extracts only the essential cost-effectiveness information from the vast amount of medical literature and guidelines, presenting it in a condensed format that physicians can review quickly without losing important insights about medication cost-effectiveness
Solution Approach 2:
The system performs preliminary analysis of medical literature and guidelines to pre-determine cost-effectiveness rankings of medications, so that when a physician needs information, the analysis is already complete and ready for immediate use
2Reliability
If physicians read and absorb latest medical developments, then treatment quality is improved, but productivity decreases
Solution Approach 1:
The patent introduces an intermediary system that acts as a mediator between the vast amount of medical literature and the physician's decision-making process, filtering and presenting only the most relevant cost-effectiveness information needed for treatment decisions
Solution Approach 2:
The system creates a simplified copy or representation of complex medical guidelines and literature that captures the essential cost-effectiveness information in an accessible format, allowing physicians to access key insights without engaging with the full complexity of original sources
3Device complexity
If copayments are based on average patient statistics for large groups, then insurance plan simplicity is maintained, but patient-specific cost-effectiveness is reduced
Solution Approach 1:
The patent transforms static, group-based copayment structures into dynamic, patient-specific copayment amounts that automatically adjust based on individual patient characteristics and the cost-effectiveness of specific medications, allowing the system to adapt to each patient's unique situation while maintaining overall plan simplicity
Data Source
AI summary
System and method for the cost-effective use of medications, comprising dynamically adjusting the patient cost for a plurality of possible medication treatment therapies according to the cost-effectiveness of each possible medication therapy based on known patient attributes, and providing a physician with the dynamically determined patient cost of at least one of the possible medication treatment therapies.