Express Scripts Strategic Development, Inc.

Mark D Wong

Pritesh J Shah

Amit K Bothra

Marian Wilson

Jared Schutt

Andrew J Lee

Ronald Buesser

Jacqueline Luong

Heather-Ann Falcon

Karnik D Patel

Rocco Maglio

Methods and systems for providing a secure healthcare communication exchange platform. The methods and systems perform operations comprising: accessing a collection of data records from a plurality of sources, the collection of data records corresponding to a given entity; generating, based on the collection of data records, an aggregated representation of one or more conditions associated with the given entity; determining, based on the aggregated representation, that a given condition of the one or more conditions satisfies an outreach parameter; in response to determining that the given condition satisfies the outreach parameter, triggering an outreach event to communicate with the given entity; generating status information in the aggregated representation, the status information corresponding to the outreach event; and tracking the status information to establish a relationship between the given condition and the outreach parameter.

Secure healthcare communication exchange platform

A computerized method includes determining a clinical opportunity to improve care for a user according to automated triggering of a gap identification rule, generating a persona of the user based on one or more personalization scores that are specific to the user, and generating a care plan for reducing the gap in care based on the persona. The care plan includes a plurality of methods of increasing compliance of the user with the care plan, selected based on the one or more personalization scores, and include different modes of communicating with the user either directly or through at least one of a physician and a pharmacist depending on the one or more personalization scores. The method includes deploying the care plan to provide automated selection of one or more of the different modes of communicating with the user to increase compliance of the user with the care plan.

Computerized system for automated generation of ordered operation set

Growing community of inventors

Chesterfield, MO, United States of America

Mark D Wong