Improving Market Access in Pharma and Life Science

Conversion Maximizer

Conversion Maximizer is designed to enhance the conversion rate of brand claims. This app provides a real-time overview of a brand's claim performance, offering insights into denial reasons. The primary focus is on identifying opportunities to maximize claim approvals, ultimately aiming to improve the success rate of submitted claims and increase overall acceptance and approval of brand claims.

What it does: Enhances the conversion rate of brand claims by providing a real-time overview of a brand's claim performance, offering insights into denial reasons.

Value: Helps identify opportunities to maximize claim approvals, ultimately aiming to improve the success rate of submitted claims.

Pull Through Maximizer

Pull Through Maximizer is primarily built for the field force. It assists them in pull-through marketing efforts by helping them create marketing material. The app is dynamic and allows field employees to customize flyers with geography-level payer-channel coverage information. This helps them showcase the superior coverage of drugs.

What it does: Assists the field teams in pull-through marketing efforts by helping them create marketing material by allowing them to customize flyers with geography-level payer-channel coverage information.

Value: Enables field teams to target the right HCPs with the right message, boosting prescriptions by showing strong local coverage where it matters most.

Access Growth Maximizer

For improved life science and pharmaceutical market access strategy, this app helps measure the growth potential of a brand by comparing it to similar organizations in the current access environment. It gives sub-national managers, payer account managers, and the field force real-time insights on new opportunities for brand growth.

What it does: Measures the growth potential of a brand by comparing it to similar organizations in the current access environment.

Value: Helps teams quickly spot high-potential prescribers after an access win, so they can prioritize outreach, accelerate uptake, and maximize brand growth where it counts.

Precision Pull Through Marketing

This app predicts healthcare professionals (HCPs) who are likely to prescribe after a formulary access win. Users can take advantage of the specialized machine learning (ML) tools and use the prediction algorithm within three weeks after the access win. It also helps measure how likely each healthcare professional (HCP) is to prescribe, which helps prioritize the field team's efforts.

• Diagnostic claims data is utilized to aggregate and generate insights at the ICD-10 level.
• Pharmacy claims data is employed for aggregating and generating insights at the NDC level.
• Medical claims data is used to aggregate and generate insights at the J-code level.

What it does: Predicts HCPs with high propensity to prescribe post a formulary access win.

Value: Helps boost prescriptions after an access win by quickly identifying HCPs most likely to prescribe, so field teams can focus efforts where they’ll have the most impact, with predictions that keep improving every 15 days.

Formulary Event Analyzer

This app shows both major and minor disruptions related to formulary access changes. It helps users understand these events and rank their impact on product market share. Powered by ciPARTHENON™, this app is a useful tool during contract negotiations to achieve the best results for market access in pharma and life science industry.

What it does: Shows disruptions related to formulary access changes, helping users understand these events and rank their impact on product market share. 

Value: Serves as a useful tool during contract negotiations to achieve the best market access.

Payer Spine

This app serves as a single source of truth for integrating plans, formularies, payer entities, and Pharmacy Benefit Managers (PBMs). It combines insights from field teams with third-party data to give an accurate view of the account hierarchy among payers, plans, PBMs, and Managed Care Organizations (MCOs). Powered by ciPARTHENON™, this app highlights the differences between national and regional payer plan access changes.

What it does: Provides a unified source of truth for integration of plans, formularies, payer entities and PBMs.

Value: Gives managed market teams a clear view of payer-plan relationships and access changes, helping them spot regional vs. national shifts and make smarter, data-driven access decisions.

Comprehensive Deal Analytics

This app serves as a helpful guide throughout the entire deal process, helping users succeed in pull-through efforts. Customized analytics pathways help build and generate appropriate market and payer-relevant insights from the pre-deal phase to the post-deal proactive HCP identification phase. It assists in identifying the incremental opportunities associated with access wins and further shows a rational, responsible way to distribute the opportunity across HCPs.

What it does: Help build and generate appropriate market and payer-relevant insights from the pre-deal phase to the post-deal proactive HCP identification phase. 

Value: Serves as a helpful guide throughout the entire deal process, helping users succeed in pull-through efforts.