SYSTEMS AND METHODS FOR IMPROVING INTERACTIONS OF INSURANCE PROVIDERS, PRESCRIBING HEALTHCARE PROFESSIONALS, AND MEMBERS ASSOCIATED WITH A HIGH VOLUME PHARMACY

    公开(公告)号:US20250022561A1

    公开(公告)日:2025-01-16

    申请号:US18220936

    申请日:2023-07-12

    Abstract: A method includes receiving prescription data associated with a plurality of prescriptions written by a prescribing healthcare professional and determining a prescriber score for the prescribing healthcare professional based on the prescription data. The method also includes determining a prescription product score for each prescription product, retrieving member data, and determining a member score for each respective member. The method also includes determining a prescriber propensity score for the prescribing healthcare professional, and, in response to a determination that the prescriber propensity score is greater than a first threshold, identifying respective members having a member score that is greater than a second threshold, and generating, for display, an output indicating at least the prescriber propensity score and a list of identified respective members.

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