Sarah L Stephens

US Patent:

7860732, Dec 28, 2010

Filed:

Oct 9, 2007

Appl. No.:

11/869339

Inventors:

Megan K. Elizabeth - Louisville KY, US
Kristen R. Augspurger - Louisville KY, US
Sarah A. Stephens - Louisville KY, US
Mark M. Muse - Louisville KY, US
Srinath S. Iyengar - Louisville KY, US
Jason P. Loehr - Louisville KY, US
David L. Townsend - Louisville KY, US

Assignee:

Humana Inc. - Louisville KY

International Classification:

A61B 5/00
G06F 19/00

US Classification:

705 3, 705 2

Abstract:

A method and apparatus for providing a Medicare Part D Pharmacy Benefits Calculator. A user inputs data for prescriptions to be purchased by a prospective insured for a plan period. The prescription data includes a quantity, a days supply, and a number of fills. The data for each prescription the user enters is used to calculate anticipated out-of-pocket costs for the prescriptions for one or more pharmacy benefits plans available to the prospective insured. The cost data is presented to the user in a way that illustrates how out-of-pocket costs will vary over the course of a plan period. The user may view costs for alternative drugs and alternatives sources of drugs. The user may vary and expand the presentation of the cost data to better understand the available plan benefits. The invention helps prospective insureds decide among alternative Medicare Part D pharmacy benefits plans offered by one or more insurance companies.

US Patent:

8265953, Sep 11, 2012

Filed:

Dec 22, 2010

Appl. No.:

12/975924

Inventors:

Megan K. Elizabeth - Louisville KY, US
Kristen R. Augspurger - Louisville KY, US
Sarah A. Stephens - Louisville KY, US
Mark M. Muse - Louisville KY, US
Srinath S. Iyengar - Louisville KY, US
Jason P. Loehr - Louisville KY, US
David L. Townsend - Louisville KY, US

Assignee:

Humana Inc. - Louisville KY

International Classification:

G06Q 10/00
G06Q 50/00

US Classification:

705 2, 705 3

Abstract:

A method and apparatus for providing a Medicare Part D Pharmacy Benefits Calculator. A computer user inputs data for prescriptions to be purchased by a prospective insured for a plan period. The prescription data includes a quantity, a days supply, and a number of fills. The data for each prescription the user enters is used to calculate anticipated out-of-pocket costs for the prescriptions for one or more pharmacy benefits plans available to the prospective insured. The cost data is presented to the user in a way that illustrates how out-of-pocket costs will vary over the course of a plan period. The user may view costs for alternative drugs and alternatives sources of drugs. The user may vary and expand the presentation of the cost data to better understand the available plan benefits. The invention helps prospective insureds decide among alternative Medicare Part D pharmacy benefits plans offered by one or more insurance companies.

US Patent:

8265959, Sep 11, 2012

Filed:

Aug 8, 2008

Appl. No.:

12/188431

Inventors:

Ronald Keith McKenzie - Louisville KY, US
Sarah Stephens - Louisville KY, US
Kathryn Knapp Broaddus - Louisville KY, US
Brad Ennis - Crestwood KY, US
Kristen R. Augspurger - Louisville KY, US

Assignee:

Humana Inc. - Louisville KY

International Classification:

G06Q 50/00

US Classification:

705 3, 705 2, 705 4

Abstract:

An online application for approving prior authorization requests for prescription drugs. The application is used by pharmacy benefits providers, physicians, and pharmacies to request prior authorizations for drugs and to receive approvals automatically if a requested drug meets authorization criteria. The online application is accessible through a group pharmacy benefits provider portal on a web site. Requests are processed through a pharmacy benefits manager computer that determines whether prior authorization is required and through a pharmacy benefits provider computer when the pharmacy benefits manager computer determines that prior authorization is required. Requests that meet certain authorization criteria are approved automatically. Requests that cannot be approved automatically are submitted for review by a clinical pharmacy review division that access requests through a drug request transaction computer.

US Patent:

20050261939, Nov 24, 2005

Filed:

May 12, 2005

Appl. No.:

11/127857

Inventors:

Kristen Augspurger - Louisville KY, US
Sarah Stephens - Louisville KY, US
Michael Karrer - Louisville KY, US
Kennon Vinson - Louisville KY, US
Mark Flinchum - Louisville KY, US
Inessa Kallik - Louisville KY, US
Megan Elizabeth - Louisville KY, US
Elizabeth Warren - Louisville KY, US
William Fleming - Prospect KY, US
Jonathan Lord - Louisville KY, US

International Classification:

G06F017/60

US Classification:

705002000, 705004000

Abstract:

A Pharmacy Benefits Calculator reads in an insured's prior pharmacy claims history and then calculates said insured's anticipated out-of-pocket costs for one or more pharmacy benefits plans that said insured is eligible to enroll in. Provision is made for an insured to modify their anticipated future pharmacy needs. Provision is also made for an insured to compare their out-of-pocket costs for different alternative drugs, said alternative drugs providing comparable therapeutic benefits. Provision also is made for an insured to substitute a lower cost generic equivalent for a brand drug, when available. Another provision is made for an insured to choose to price drugs at a retail pharmacy store or a mail order pharmacy and determine cost differences. The pricing available from said retail pharmacy store may be based on a price negotiated by an insurance company offering said pharmacy benefits plans.

US Patent:

20080021735, Jan 24, 2008

Filed:

Oct 1, 2007

Appl. No.:

11/865445

Inventors:

Megan Elizabeth - Louisville KY, US
Stephen Marco - Louisville KY, US
Kristen Augspurger - Louisville KY, US
Sarah Stephens - Louisville KY, US
Mark Muse - Louisville KY, US
Srinath Iyengar - Louisville KY, US
Jason Loehr - Louisville KY, US
David Townsend - Louisville KY, US

Assignee:

Humana Inc. - Louisville KY

International Classification:

G06Q 10/00
G06F 17/00

US Classification:

705002000, 705400000

Abstract:

A method and apparatus for providing a Medicare Part D Pharmacy Benefits Calculator. A user inputs data for prescriptions to be purchased by a prospective insured for a plan period. The prescription data includes a quantity, a days supply, and a number of fills. The data for each prescription the user enters is used to calculate anticipated out-of-pocket costs for the prescriptions for one or more pharmacy benefits plans available to the prospective insured. The cost data is presented to the user in a way that illustrates how out-of-pocket costs will vary over the course of a plan period. The user may view costs for alternative drugs and alternatives sources of drugs. The user may vary and expand the presentation of the cost data to better understand the available plan benefits. The invention helps prospective insureds decide among alternative Medicare Part D pharmacy benefits plans offered by one or more insurance companies.

US Patent:

20160358288, Dec 8, 2016

Filed:

Sep 11, 2012

Appl. No.:

13/610115

Inventors:

Ronald Keith McKenzie - Louisville KY, US
Sarah Stephens - Louisville KY, US
Kathryn Knapp Broaddus - Louisville KY, US
Brad Ennis - Crestwood KY, US
Kristen R. Augspurger - Louisville KY, US

Assignee:

HUMANA INC. - Louisville KY

International Classification:

G06Q 50/24

Abstract:

An online application for approving prior authorization requests for prescription drugs. The application is used by pharmacy benefits providers, physicians, and pharmacies to request prior authorizations for drugs and to receive approvals automatically if a requested drug meets authorization criteria. The online application is accessible through a group pharmacy benefits provider portal on a web site. Requests are processed through a pharmacy benefits manager computer that determines whether prior authorization is required and through a pharmacy benefits provider computer when the pharmacy benefits manager computer determines that prior authorization is required. Requests that meet certain authorization criteria are approved automatically. Requests that cannot be approved automatically are submitted for review by a clinical pharmacy review division that access requests through a drug request transaction computer.

Author:

Sarah Hines Stephens

ISBN #:

0375815341

Author:

Sarah Hines Stephens

ISBN #:

0439320704

Author:

Sarah Hines Stephens

ISBN #:

0439440645

Author:

Sarah Hines Stephens

ISBN #:

0439446058

Author:

Sarah Hines Stephens

ISBN #:

0439545323

Author:

Sarah Hines Stephens

ISBN #:

0439557062

Author:

Sarah Hines Stephens

ISBN #:

0439565537

Author:

Sarah Hines Stephens

ISBN #:

0439565545