System and method for assessing healthcare risks
First Claim
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1. A computer-implemented method for assessing risk of insuring a healthcare patient;
- the method comprising one or more computers performing the following;
receiving demographic data on a patient and prescription data for each prescription filled by the patient;
assigning the prescription data for each prescription to at least one risk group based upon at least one medical condition typically treated by the prescription;
storing risk data for the patient, wherein the risk data includes the risk groups for all prescription data of the patient; and
calculating a risk score for the patient based upon the risk data and the demographic data of the patient.
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Abstract
A system and method for receiving demographic data on a patient and data on at least one pharmacy service prescribed for the patient; assigning a unique drug class to each pharmacy service; using the unique drug classes for ordering the pharmacy services according to a predetermined hierarchy of classes; and providing a risk score for the patient using the ordered pharmacy services.
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Citations
10 Claims
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1. A computer-implemented method for assessing risk of insuring a healthcare patient;
- the method comprising one or more computers performing the following;
receiving demographic data on a patient and prescription data for each prescription filled by the patient; assigning the prescription data for each prescription to at least one risk group based upon at least one medical condition typically treated by the prescription; storing risk data for the patient, wherein the risk data includes the risk groups for all prescription data of the patient; and calculating a risk score for the patient based upon the risk data and the demographic data of the patient. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9)
- the method comprising one or more computers performing the following;
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10. An information processing system comprising:
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a computer processor for; receiving demographic data on a patient and prescription data for each prescription prescribed for the patient; assigning the prescription data for each prescription to at least one risk group based upon at least one medical condition typically treated by the prescription; storing risk data for the patient in an associated database, wherein the risk data includes the risk groups for all prescription data of the patient; and calculating a risk score for the patient based upon the risk data and the demographic data of the patient.
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Specification