Payor Mix: Understanding How Patients Receive Care and Who Pays for it

Understanding Payor Partnerships

To find out which healthcare providers (HCPs) are actively treating patients in a therapeutic area, you’ll want access to more than just publication information. To really dig in, you need access to the wealth of information that lies within claims data.

H1’s claims data monitors nearly 4 million HCPs by tracking over 3-billion diagnosis codes (ICD) along with 2-billion procedure codes. This feature, combined with H1’s extensive database on HCP scholarly work, empowers HCP Universe to give users the KOL insights that most other existing solutions are unable to provide. Which helps you engage and understand HCPs better than ever.

With our new claims data, we give our users an even deeper understanding of HCPs and HCOs by diving into payor claims data.

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Understanding Payor Mix

One of those new data points is: Payor Mix.

Payor mix is the detailed data surrounding an HCP or HCOs mix of insurance payors being supported by said HCP/HCO. Understanding payor mix can provide a plethora of valuable insights to those individuals working on developing partnerships between industry and HCPs. By using this data, pharma companies can better leverage their relationships with those HCPs giving them the right combination of influence within the larger industry.

H1 knows this data and information will help pharma companies get the products they have available to the market in a more timely fashion. By getting the right HCPs involved in the decision making process for formulary committees or other purchasing entities, pharma companies can greatly improve their desired strategic commercial outcomes.

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