Data-Driven Insights

Posts for tag: Field Reimbursement

August 15, 2019   |   Lucas Dan

Utilizing AI and Machine Learning to Predict Challenging Patient Cases

IntegriChain is utilizing AI and machine learning to develop risk score models that will allow Field Reimbursement Managers (FRMs) and similar functions to proactively intervene on behalf of patients who are likely to experience roadblocks in their journey -- before the roadblocks occur. Predictive patient journey analytics look at analog patient cases and outcomes to understand the likelihood of a new referral experiencing an issue such as lengthy time stalled in prior authorization and appeal. These actionable insights allow an FRM to prioritize potentially challenging patient cases and work to resolve the anticipated roadblock. 

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July 12, 2019   |   Brandon Underwood

Cancellation Reasons Highlight the Opportunity to Proactively Support Stalled Patient Cases

The quality of status and sub-status data reported by SPs is an ongoing challenge that limits the actionability of data specialty brands have contracted to receive. Clearly, poor data quality limits the level of insights that analytics can surface for key stakeholders. Simply cleansing and stewarding Cancellation reasons unlocks tremendous value in understanding why patients are abandoning scripts.

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