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Full text of "USPTO Patents Application 09876311"

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IN THE CLAIMS 



1 . (Currently Amended) 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 
complied with will be are 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 bonus set of points in addition to the 
points awarded in the first level in response to participating in 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 of points . 



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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. 

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. 

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

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. 

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. 

7. (Cancelled) 



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8. (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 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. 

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. 

10. (Cancelled) 



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11. (Cancelled) 



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. 



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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 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. 

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. 

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

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



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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. 

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 (Withdrawn) A method according to claim 8 wherein the reward is a cash payout or special 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

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 (Withdrawn) A method according to claim 18 wherein the services are one or more of 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

20. (Withdrawn) 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; 

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. 

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21. (Withdrawn) 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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22. (New) 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 complied 
with are 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; 

combining the plurality of general programme areas and the plurality of specific 
programme areas into a programme of the disease management programme; 

offering the programme comprising the plurality of general programme areas and the 
plurality of specific programme areas that have been combined to a plurality of members of the 
disease management programme, wherein at least two members in the plurality of members each 
comprise a different disease; 

determining that at least one member in the plurality of members has participated in at 
least one of the plurality of specific programme areas; 

identifying a disease associated with the at least one of the plurality of specific 
programme areas participated in by the member; 

determining if the member is afflicted with the disease that has been identified; and 

awarding points to the member for the at least one of the plurality of specific programme 
areas participated in by the member in response to determining that the member is afflicted with 
the disease that has been identified. 



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23. (New) 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 complied 
with are 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; 

combining the plurality of general programme areas and the plurality of specific 
programme areas into a programme of the disease management programme; 

offering the programme comprising the plurality of general programme areas and the 
plurality of specific programme areas that have been combined to a plurality of members of the 
disease management programme, wherein at least two members in the plurality of members each 
comprise a different disease; 

determining that at least one member in the plurality of members has participated in at 
least one programme area in at least one of the plurality of general programme areas and the 
plurality of specific programme areas; 

awarding a first set of points to the member in response to the member participating in 
the at least one progamme area, wherein the first set of points are awarded based on a multi-level 
system comprising: 

a first level where the first set of points are allocated to the member after 

participating in a first programme area; 

determining that the member has participated in all of the plurality general 

programme areas and a set of specific programmer areas in the plurality of specific 

programme areas; 

identifying a disease associated with the set of specific programme areas 
participated in by the member; 

determining that the set of specific programme areas comprises all of the specific 
programme areas associated with the disease that has been identified; 



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determining if the member is afflicted with the disease that has been identified; 

and 

awarding a second set of points to the member for the at least one of the plurality of 
specific programme areas participated in by the member in response to determining that the 
member is afflicted with the disease that has been identified, wherein the second set of points are 
awarded based on the multi-level system comprising: 

a second level where the second set of points are allocated to the member in 

addition to the first set of points in response to participating in all programme areas 

associated with the disease that the member is afflicted with; 

determining that member has attained a minimum level for a measurable of at 

least one programme area associated with the disease that the member is afflicted with; 

awarding a third set of points to the member in response to the member having attained 
the minimum level, wherein the second set of points are awarded based on the multi-level system 
comprising: 

a third level where the third set of points are allocated based on the member 
having satisfied the first level and the second level, where the third set of points being 
allocated in addition to the first set of points and the second set of point; 

calculating, based at least on the first set of points, the second set of points, and 
the third set of point, 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 of points. 



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