Lawrence N Croney

US Patent:

20060089862, Apr 27, 2006

Filed:

Oct 25, 2004

Appl. No.:

10/972300

Inventors:

Sudhir Anandarao - Vienna VA, US
Lawrence Croney - Springfield VA, US
Rahul Ghate - Fairfax VA, US
Anand Iyengar - Centerville VA, US
Sreedhar Potarazu - Potomac MD, US
James Tierney - Potomac Falls VA, US

International Classification:

G06Q 40/00

US Classification:

705004000

Abstract:

Data of one or more individuals associated with a benefit plan are analyzed. The data can include information about benefits provided to the one or more individuals under the benefit plan, such as a medical benefit plan, a prescription benefit plan, or a retirement benefit plan. One or more expenses of the benefit plan are modeled at least partially based on the analyzed data. The modeling includes determining a change in the one or more expenses based on modification of a parameter of the benefit plan.

US Patent:

20050278196, Dec 15, 2005

Filed:

Jun 9, 2004

Appl. No.:

10/863819

Inventors:

Sreedhar Potarazu - Potomac MD, US
Sudhir Anandarao - Vienna VA, US
Lawrence Croney - Springfield VA, US

International Classification:

G06F017/60

US Classification:

705002000, 705004000

Abstract:

A system and method for developing and utilizing member condition groups (MCGs) determines whether an individual has been diagnosed with one or more diagnostic codes from a predetermined group of diagnostic codes. Each diagnosed individual is associated, based on the one or more diagnostic codes, with one or more member condition groups (MCGs), each MCG representing a group of individuals diagnosed with clinically related diagnostic codes. A healthcare-related cost, including a pharmacy cost, a disability benefit, a workers compensation benefit, a health benefit administration fee, or an absence cost, associated with each diagnosed individual from a predetermined MCG during a predetermined time period is determined. Additionally, a medical health benefits cost, which is distinct from the healthcare-related cost, can be determined for each diagnosed individual. The medical health benefits cost and the healthcare-related cost can be combined to determine a comprehensive healthcare cost associated with each diagnosed individual.