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Full text of "USPTO Patents Application 09876311"

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Applicant: Marice Ronan Goodman et al. 

Application No.: 09/876,311 
Examiner: Martin A. Gottschalk 

Amendments to the Claims : 

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 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; 

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 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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Applicant: Marice Ronan Goodman et al. 

Application No.: 09/876,311 
Examiner: Martin A. Gottschalk 

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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Applicant: Marice Ronan Goodman et al. 

Application No.: 09/876,311 
Examiner: Martin A. Gottschalk 



8. (Withdrawn-Currently amended) A method of incentivising members of a disease 
management programme to comply with the programme, the method comprising the steps of 
according to claim 1, further including : 

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. 

10-11. (Cancelled) 

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 (Withdrawn) A method of incentivising members of a disease management programme 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



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Applicant: Marice Ronan Goodman et al. 

Application No.: 09/876,311 
Examiner: Martin 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; 

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. 

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 



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Applicant: Marice Ronan Goodman et al. 

Application No.: 09/876,311 
Examiner: Martin A. Gottschalk 

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. 

17-18. (Canceled) 

19. (Withdrawn, Currently amended) A method according to claim [[18]] 24^ wherein the 
services are points may be redeemed for 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; 



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Applicant: Marice Ronan Goodman et al. 

Application No.: 09/876,311 
Examiner: Martin A. Gottschalk 

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. 

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. 

22-23. (Canceled) 

24. (New) A method of managing disease in a health program, comprising: 
defining a set of diseases managed by the program; 



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Applicant: Marice Ronan Goodman et al. 

Application No.: 09/876,311 
Examiner: Martin A. Gottschalk 

defining at least one general set of activities, each set including at least one therapeutic 
activity beneficial with respect to a plurality of diseases in said set of diseases; 

defining a plurality of specific sets of activities, each of said specific sets including at least 
one therapeutically beneficial activity directed to a specific disease in said set of diseases; 

associating at least one general set of activities to at least one specific set of activities to 
form a combined set of activities; 

awarding a first set of points to a participant who engages in at least one activity in a 
combined set of activities directed to a disease state of the participant; 

awarding a second set of points to a participant only after the participant has engaged in all 
activities in a combined set of activities directed to a disease state of the participant; 

awarding a third set of points to a participant who engages in all activities in a combined set 
of activities directed to a disease state of the participant, only after the participant meets a 
minimum measurable achievement with respect to at least one of the specific set of activities of 
said combined set of activities; 

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. 

25. (New) The disease management program of claim 24, further including awarding a 
fourth set of points to a participant who engages in all activities in a specific set of activities 
directed to a disease of the participant, and the participant meets a minimum measurable 
achievement with respect to all of the specific set of activities directed to a disease state of the 
participant. 

26. (New) The disease management program of claim 24, wherein a disease state of the 
participant is selected from the group consisting of predisposed to a disease, at high risk of 
having the disease, and having the disease. 



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Applicant: Marice Ronan Goodman et al. 

Application No.: 09/876,311 
Examiner: Martin A. Gottschalk 

27. (New) A method of managing disease in a health program, comprising: 
defining a set of diseases managed by the program; 

defining at least one general set of activities, each set including at least one therapeutic 
activity beneficial with respect to a plurality of diseases in said set of diseases, and including at 
least one therapeutic activity beneficial with respect to obesity, and at least one therapeutic 
activity beneficial with respect to addiction; 

defining a plurality of specific sets of activities, each of said specific sets including at least 
one therapeutically beneficial activity directed to a specific disease in said set of diseases, at 
least one of said specific set of diseases not including obesity or addiction; 

associating at least one general set of activities to at least one specific set of activities to 
form a combined set of activities; 

awarding a first set of points to a participant who engages in at least one activity in a 
combined set of activities directed to a disease state of the participant; 

awarding a second set of points to a participant only after the participant has engaged in all 
activities in a combined set of activities directed to a disease state of the participant; 

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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