The patent badge is an abbreviated version of the USPTO patent document. The patent badge does contain a link to the full patent document.

The patent badge is an abbreviated version of the USPTO patent document. The patent badge covers the following: Patent number, Date patent was issued, Date patent was filed, Title of the patent, Applicant, Inventor, Assignee, Attorney firm, Primary examiner, Assistant examiner, CPCs, and Abstract. The patent badge does contain a link to the full patent document (in Adobe Acrobat format, aka pdf). To download or print any patent click here.

Date of Patent:
May. 19, 2020

Filed:

Aug. 04, 2017
Applicant:

Express Scripts Strategic Development, Inc., St. Louis, MO (US);

Inventors:

Dhanur S. Balagere, St. Louis, MO (US);

David A. Tomala, Chesterfield, MO (US);

Robert F. Nease, St. Louis, MO (US);

Reethi N. Iyengar, St. Louis, MO (US);

Assignee:
Attorney:
Primary Examiner:
Int. Cl.
CPC ...
G06Q 10/06 (2012.01); G06Q 50/22 (2018.01); G06F 19/00 (2018.01); G16H 40/20 (2018.01);
U.S. Cl.
CPC ...
G06Q 10/06395 (2013.01); G06F 19/328 (2013.01); G06Q 10/0633 (2013.01); G06Q 10/0637 (2013.01); G06Q 50/22 (2013.01); G16H 40/20 (2018.01);
Abstract

Methods and systems for pharmacy modeling are described. The risk adjusted pharmacy predictive model is created from member data, claims data, and population data. This model can be used to compare the actual pharmacy performance to an expected actual pharmacy performance value, which can be used to identify pharmacies at risk or not performing to an acceptable level. The model can be used for adherence and generic drug utilization ratings of pharmacies. The pharmacy can be judged on a therapy class by therapy class basis with factors that reflect the demographic, socio-economic, location, benefits attributes, etc. that actually affect the performance of the pharmacy and may assist in determining the quality of care by a pharmacy.


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