Patents by Inventor Debra A. Maldonato

Debra A. Maldonato has filed for patents to protect the following inventions. This listing includes patent applications that are pending as well as patents that have already been granted by the United States Patent and Trademark Office (USPTO).

  • Patent number: 8762164
    Abstract: A healthcare risk index is generated using a patient or individual's pharmacy claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, the index is generated by first examining the individual's pharmacy claims to identify any chronic conditions possessed by the individual. Similarly, the individual's pharmacy claims are examined to identify any compliance medications prescribed to the individual. The chronic condition information is used to generate a chronic condition score by summing regression coefficients for each chronic condition possessed by the individual. Likewise, the compliance medication information is used to generate a compliance medication score by summing products of regression coefficients for each compliance medication prescribed to the individual with associated medication supply weights.
    Type: Grant
    Filed: May 24, 2010
    Date of Patent: June 24, 2014
    Assignee: Medco Health Solutions, Inc.
    Inventors: Kimberly A. McGuigan, Debra A. Maldonato, Qingshan Qian, Kurtis W. Andrews, Keith J. Bradbury, George Fulop, Joseph A. Boscarino
  • Patent number: 8666779
    Abstract: A healthcare risk index is generated using a patient or individual's medical claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, one example of such a method involves first generating a medical condition score using the individual's medical information for each medical condition possessed by the individual. From there, each medical condition score is modified according to a regression coefficient, to result in one or more modified medical condition scores. Finally, the risk index may be generated by summing the medical condition scores. This risk index is indicative of at least one of the individual's medical costs, chronic medical conditions, and variation in medical costs.
    Type: Grant
    Filed: June 24, 2013
    Date of Patent: March 4, 2014
    Assignee: Medco Health Solutions, Inc.
    Inventors: Kimberly A. McGuigan, Debra A. Maldonato, Jianying Yao, Qingshan Qian
  • Publication number: 20130290028
    Abstract: A healthcare risk index is generated using a patient or individual's medical claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, one example of such a method involves first generating a medical condition score using the individual's medical information for each medical condition possessed by the individual. From there, each medical condition score is modified according to a regression coefficient, to result in one or more modified medical condition scores. Finally, the risk index may be generated by summing the medical condition scores. This risk index is indicative of at least one of the individual's medical costs, chronic medical conditions, and variation in medical costs.
    Type: Application
    Filed: June 24, 2013
    Publication date: October 31, 2013
    Inventors: Kimberly A. McGuigan, Debra A. Maldonato, Qingshan Qian, Jianying Yao
  • Patent number: 8489416
    Abstract: A healthcare risk index is generated using a patient or individual's pharmacy claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, the index is generated by first examining the individual's pharmacy claims to identify any chronic conditions possessed by the individual. Similarly, the individual's pharmacy claims are examined to identify any compliance medications prescribed to the individual. The chronic condition information is used to generate a chronic condition score by summing regression coefficients for each chronic condition possessed by the individual. Likewise, the compliance medication information is used to generate a compliance medication score by summing products of regression coefficients for each compliance medication prescribed to the individual with associated medication supply weights.
    Type: Grant
    Filed: May 25, 2010
    Date of Patent: July 16, 2013
    Assignee: Medco Health Solutions, Inc.
    Inventors: Kimberly A. McGuigan, Debra A. Maldonato, Qingshan Qian, Kurtis W. Andrews, Keith J. Bradbury, George Fulop, Joseph A. Boscarino
  • Patent number: 8473311
    Abstract: A healthcare risk index is generated using a patient or individual's medical claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, one example of such a method involves first generating a medical condition score using the individual's medical information for each medical condition possessed by the individual. From there, each medical condition score is modified according to a regression coefficient, to result in one or more modified medical condition scores. Finally, the risk index may be generated by summing the medical condition scores. This risk index is indicative of at least one of the individual's medical costs, chronic medical conditions, and variation in medical costs.
    Type: Grant
    Filed: August 6, 2004
    Date of Patent: June 25, 2013
    Assignee: Medco Health Solutions, Inc.
    Inventors: Kimberly A. McGuigan, Debra A. Maldonato, Qingshan Qian, Jianying Yao
  • Publication number: 20100235193
    Abstract: A healthcare risk index is generated using a patient or individual's pharmacy claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, the index is generated by first examining the individual's pharmacy claims to identify any chronic conditions possessed by the individual. Similarly, the individual's pharmacy claims are examined to identify any compliance medications prescribed to the individual. The chronic condition information is used to generate a chronic condition score by summing regression coefficients for each chronic condition possessed by the individual. Likewise, the compliance medication information is used to generate a compliance medication score by summing products of regression coefficients for each compliance medication prescribed to the individual with associated medication supply weights.
    Type: Application
    Filed: May 25, 2010
    Publication date: September 16, 2010
    Inventors: Kimberly A. McGuigan, Debra A. Maldonato, Qingshan Qian, Kurtis W. Andrews, Keith J. Bradbury, George Fulop, Joseph A. Boscarino
  • Publication number: 20100228570
    Abstract: A healthcare risk index is generated using a patient or individual's pharmacy claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, the index is generated by first examining the individual's pharmacy claims to identify any chronic conditions possessed by the individual. Similarly, the individual's pharmacy claims are examined to identify any compliance medications prescribed to the individual. The chronic condition information is used to generate a chronic condition score by summing regression coefficients for each chronic condition possessed by the individual. Likewise, the compliance medication information is used to generate a compliance medication score by summing products of regression coefficients for each compliance medication prescribed to the individual with associated medication supply weights.
    Type: Application
    Filed: May 24, 2010
    Publication date: September 9, 2010
    Inventors: Kimberly A. McGuigan, Debra A. Maldonato, Qingshan Qian, Kurtis W. Andrews, Keith J. Bradbury, George Fulop, Joseph A. Boscarino
  • Patent number: 7725327
    Abstract: A healthcare risk index is generated using a patient or individual's pharmacy claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, the index is generated by first examining the individual's pharmacy claims to identify any chronic conditions possessed by the individual. Similarly, the individual's pharmacy claims are examined to identify any compliance medications prescribed to the individual. The chronic condition information is used to generate a chronic condition score by summing regression coefficients for each chronic condition possessed by the individual. Likewise, the compliance medication information is used to generate a compliance medication score by summing products of regression coefficients for each compliance medication prescribed to the individual with associated medication supply weights.
    Type: Grant
    Filed: October 22, 2003
    Date of Patent: May 25, 2010
    Assignee: Medco Health Solutions, Inc.
    Inventors: Kimberly A. McGuigan, Debra A. Maldonato, Qingshan Qian, Kurtis W. Andrews, Keith J. Bradbury, George Fulop, Joseph A. Boscarino
  • Publication number: 20050091084
    Abstract: A healthcare risk index is generated using a patient or individual's medical claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, one example of such a method involves first generating a medical condition score using the individual's medical information for each medical condition possessed by the individual. From there, each medical condition score is modified according to a regression coefficient, to result in one or more modified medical condition scores. Finally, the risk index may be generated by summing the medical condition scores. This risk index is indicative of at least one of the individual's medical costs, chronic medical conditions, and variation in medical costs.
    Type: Application
    Filed: August 6, 2004
    Publication date: April 28, 2005
    Applicant: Medco Health Solutions, Inc.
    Inventors: Kimberly McGuigan, Debra Maldonato, Qingshan Qian, Jianying Yao
  • Publication number: 20050091083
    Abstract: A healthcare risk index is generated using a patient or individual's pharmacy claims. The index may be used to explain and predict variation in pharmacy-related costs and variation in total healthcare costs or utilization. In particular, the index is generated by first examining the individual's pharmacy claims to identify any chronic conditions possessed by the individual. Similarly, the individual's pharmacy claims are examined to identify any compliance medications prescribed to the individual. The chronic condition information is used to generate a chronic condition score by summing regression coefficients for each chronic condition possessed by the individual. Likewise, the compliance medication information is used to generate a compliance medication score by summing products of regression coefficients for each compliance medication prescribed to the individual with associated medication supply weights.
    Type: Application
    Filed: October 22, 2003
    Publication date: April 28, 2005
    Applicant: Medco Health Solutions, Inc.
    Inventors: Kimberly McGuigan, Debra Maldonato, Qingshan Qian, Kurtis Andrews, Keith Bradbury, George Fulop, Joseph Boscarino