Express Scripts Strategic Development, Inc.

Bradley D Flynn

Pritesh J Shah

Christopher G Lehmuth

Amit K Bothra

Varun Tandra

A method includes generating an intervention model by determining principal components for features of a training set, associating each feature of the training set with one of the principal components, selecting features of the training set most closely correlated with the principal components, performing a regression analysis on the selected features to determine a subset of the selected features that are most closely correlated with a model target, training a machine learning model with the subset, verifying the trained machine learning model with a verification set, and saving the verified trained machine learning model as the intervention model. The method includes determining an intervention expectation indicating a likelihood that the user will take action in response to an intervention being execute, determining a likelihood of a gap in care for the user, selecting and scheduling an intervention for execution based on the care gap likelihood and the intervention expectation.

Automated intervention system based on channel-agnostic intervention model

A method includes generating an intervention model by determining principal components for features of a training set, associating each feature of the training set with a principal component, selecting features of the training set most highly correlated with principal components, training a machine learning model with at least some of the selected features, and saving the verified trained machine learning model as the intervention model. The method includes determining multiple channel-specific intervention expectations. Each channel-specific intervention expectation indicates a likelihood that the user will take action in response to an intervention being executed using the engagement channel corresponding to the channel-specific intervention expectation. The method includes selecting an intervention and scheduling the selected intervention for execution.

Channel-specific engagement machine learning architecture

A method includes generating an intervention model for a population of users based on contact data, demographic data, and engagement data indicating successfulness of prior interventions for each of the population of users. The method includes, obtaining first data related to a first user, including engagement data indicating successfulness of prior interventions with the first user. The method includes supplying the obtained data as input to the intervention model to determine an intervention expectation, which indicates a likelihood that the first user will take action in response to an intervention. The method includes determining a likelihood of a gap in care. The method includes, in response to the care gap likelihood exceeding a minimum threshold, selecting and scheduling execution of a first intervention. The first intervention is one of a real-time communication with the first user by a specialist and an automated transmission of a message to the first user.

A computer-implemented method includes generating an intervention model for a population of users based on engagement data indicating successfulness of prior interventions for each of the population of users. Each prior intervention corresponds to one of multiple engagement channels, and the intervention model includes multiple channel-specific models. The method includes supplying data related to a first user as input to the intervention model to determine multiple channel-specific intervention expectations. Each channel-specific intervention expectation indicates a likelihood that the first user will take action in response to an intervention being executed using the corresponding engagement channel. The method includes determining a likelihood of a gap in care for the first user, and in response to the gap in care likelihood exceeding a minimum threshold, selecting a first intervention according to the channel-specific intervention expectation that has a highest determined value, and scheduling the selected first intervention for execution.

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St. Louis, MO, United States of America

Bradley D Flynn