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Full text of "USPTO Patents Application 09876311"

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Applicants: Goodman et al. 
Application No.: 09/876,311 
Examiner: M. A. Gottschalk 

Amendments to the Claims 

Claim 1 . (Previously Presented) A method of incentivising members of a disease 
management programme to comply with the programme, the method comprising the steps of: 

defining a plurality of general programme areas and a plurality of specific programme 
areas, wherein the plurality of general programme areas are programme areas that if compiled 
with will be of benefit to a member stricken with any disease managed by the disease 
management programme and wherein the plurality of specific programme areas are programme 
areas that are determined to be of particular benefit to a member afflicted with some but not all 
of the diseases managed by the disease management programme; 

awarding points to a member for each of the general programme areas in which the 
member participates, the points being allocated to members based on a multi-level system, 
including: 

a first level, wherein the member is awarded points for merely taking part in a 
programme area, 

a second level, wherein the member is awarded a greater number of points for 
taking part in all programme areas associated with a disease with which the member is afflicted, 
and 

a third level, wherein the member is awarded points for attaining a minimum level 
for a measurable of a programme area associated with a disease with which the member is 
afflicted; 

awarding points to a member for each of the specific programme areas in which the 
member participates, only if the member is afflicted with a disease to which the specific 
programme area in which the member participates has been determined to be of particular 
benefit; 

calculating a total number of points awarded to the member, and 
allocating a reward to the member if the total number of points awarded to the member 
accumulates to a predetermined amount. 



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Applicants: Goodman et al. 
Application No.: 09/876,311 
Examiner: M. A. Gottschalk 

Claim 2. (Original) A method according to claim 1 , wherein points are only 
awarded to the member if the member participates in all the programme areas which are 
associated with the disease or diseases with which the member is afflicted. 

Claim 3 . (Original) A method according to claim 1 , wherein additional points are 
awarded to the member if the member participates in all of the programme areas which are 
associated with the disease or diseases with which the member is afflicted. 

Claim 4. (Previously Presented) A method according to claim 1 , wherein the 
general programme areas are some of diet, exercise, smoking and education. 

Claim 5 . (Original) A method according to claim 1 , wherein the specific 
programme areas are one or more of blood pressure, flow volume loop measurement, influenza 
vaccine, pneumococcal vaccine, cholesterol and long term glucose control. 

Claim 6. (Original) A method according to claim 1, further including the steps of: 

defining a measurable within at least one of the general or specific programme areas so 
that a member's performance within said programme area can be ascertained; 

defining a minimum level of the measurable, which minimum level indicates a minimum 
required level of member performance within the at least one programme area; and 

awarding points to a member if the member obtains the defined minimum level of a 
measurable for the at least one programme area only if the member is afflicted with a disease 
which is associated with that particular programme area. 

Claim 7. (Cancelled) 

Claim 8. (Withdrawn) A method of incentivising members of a disease 
management programme to comply with the programme, the method comprising the steps of: 



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Applicants: Goodman et al. 
Application No.: 09/876,311 
Examiner: M. A. Gottschalk 

defining a plurality of general programme areas and a plurality of specific programme 
areas, wherein the plurality of general programme areas are programme areas that if compiled 
with will be of benefit to a member stricken with any disease managed by the disease 
management programme and wherein the plurality of specific programme areas are programme 
areas that are determined to be of particular benefit to a member afflicted with some but not all 
of the diseases managed by the disease management programme; 

defining a measurable within each of the general and specific programme areas so that a 
member's performance within said programme area can be ascertained; 

defining a minimum level for each measurable, which minimum level indicates a 
minimum required level of member performance within each of the programme areas; 

awarding points to a member if the member obtains the minimum level of a measurable 
for a particular programme area only if the member is afflicted with a disease which is associated 
with that particular programme area; and 

allocating a reward to the member if the points awarded to the member accumulate to a 
predetermined amount. 

Claim 9. (Withdrawn) A method according to claim 8 wherein, additional points are 
awarded to the member if they obtain the minimum level of a measurable for all of the 
programme areas which are associated with the disease with which the member is afflicted. 

Claim 10. (Withdrawn) A method according to claim 8 wherein the general 
programme areas are some of diet, exercise, smoking and education. 

Claim 1 1 . (Withdrawn) A method according to claim 8 wherein the specific 
programme areas are one or more of blood pressure, flow volume, loop measurement, influenza 
vaccine, pneumococcal vaccine, cholesterol and long term glucose control. 



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Applicants: Goodman et al. 
Application No.: 09/876,311 
Examiner: M. A. Gottschalk 

Claim 12. (Withdrawn) A method of incentivising members of a disease 
management programme to comply with the programme, the method comprising the steps of: 

defining a plurality of general programme areas and a plurality of specific programme 
areas, wherein the plurality of general programme areas are programme areas that if compiled 
with will be of benefit to a member stricken with any disease managed by the disease 
management programme and wherein the plurality of specific programme areas are programme 
areas that are determined to be of particular benefit to a member afflicted with some but not all 
of the diseases managed by the disease management programme; 

awarding points to a member for each of the programme areas in which the member 
participates, only if the member is predisposed to being afflicted with a disease which is 
associated with that particular programme area; and 

allocating a reward to the member if the points awarded to the member accumulate to a 
predetermined amount. 

Claim 13. (Withdrawn) A method of incentivising members of a disease management 
programme to comply with the programme, the method comprising the steps of: 

defining a plurality of general programme areas and a plurality of specific programme 
areas, wherein the plurality of general programme areas are programme areas that if compiled 
with will be of benefit to a member stricken with any disease managed by the disease 
management programme and wherein the plurality of specific programme areas are programme 
areas that are determined to be of particular benefit to a member afflicted with some but not all 
of the diseases managed by the disease management programme; 

defining a measurable within each of the general and specific programme areas so that a 
member's performance within said programme area can be ascertained; 

defining a minimum level for each measurable, which minimum level indicates a 
minimum required level of member performance within each of the programme areas; 

awarding points to a member if the member obtains the minimum level of a measurable 
for a particular programme area only if the member is predisposed to being afflicted with a 



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Applicants: Goodman et al. 
Application No.: 09/876,311 
Examiner: M. A. Gottschalk 

disease which is associated with that particular programme area; and 

allocating a reward to the member if the points awarded to the member accumulate to a 
predetermined amount. 

Claim 14. (Previously Presented) A method according to claim 1, wherein the 
amount of the reward is related to the amount of points accumulated by the member. 

Claim 1 5 . (Previously Presented) A method according to claim 1 , wherein the reward 
is a cash payout or special options on services. 

Claim 16. (Previously Presented) A method according to claim 15, wherein the 
services are one or more of airplane tickets, hotel accommodation and car rentals. 

Claim 17. (Withdrawn) A method according to claim 8 wherein the amount of the 
reward is related to the amount of points accumulated by the member. 

Claim 18. (Withdrawn) A method according to claim 8 wherein the reward is a cash 
payout or special options on services. 

Claim 19. (Withdrawn) A method according to claim 18 wherein the services are one 
or more of airplane tickets, hotel accommodation and car rentals. 

Claim 20. (Previously Presented) A method of incentivising members of a disease 
management programme to comply with the disease management programme, the method 
comprising the steps of: 

defining a measurable within an exercise programme area as being two fitness 
assessments per year, at least five months apart, so that a member's performance within said 
programme area can be ascertained; 



Applicants: Goodman et al. 
Application No.: 09/876,311 
Examiner: M. A. Gottschalk 

defining a measurable within a smoking programme area as being a cotinine test, so that 
a member's performance within said programme area can be ascertained; 

defining a measurable within an education programme area as being a questionnaire 
prepared by managers of the disease management programme, so that a member's performance 
within said programme area can be ascertained; 

defining a minimum level of each measurable, which minimum level indicates a 
minimum required level of member performance within the programme area, the minimum level 
being: 

for the exercise programme area, maintaining a predetermined level of fitness, 
for the smoking programme area, a negative cotinine test, and 
for the education programme area, completing the questionnaire; and 
awarding points to a member if the member obtains the defined minimum level of the 

measurable for a particular programme area only if the member is afflicted with a disease which 

is associated with a particular programme area. 

Claim 2 1 . (Previously Presented) The method of claim 20, including the steps of: 
defining a measurable within a pneumococcal vaccine programme area as being a 
pneumococcal vaccination, so that a member's performance within said programme area can be 
ascertained, and in which the minimum level of member performance for the pneumococcal 
vaccine programme area is; receiving a pneumococcal vaccination once every five years; and 
defining a measurable within a cholesterol programme area as being a cholesterol test 
once per year, so that a member's performance within said programme area can be ascertained, 
and in which the minimum level of member performance for the cholesterol programme area is: 
a cholesterol level of less than a predetermined level. 



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