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Multi-Payer Closed Claims ReadyDataTM

Comprehensive real-world data (RWD) crafted for clearer insights.

Reveal insights that make a difference with access to every medical and pharmacy touchpoint from 80 payers across commercial, individual, Medicare, and Medicaid plans. Harness our closed claims data to perform more granular analyses and propel your business forward with deeper dimensions of healthcare data. 

80

payers

7.5B

medical and pharmacy records

3M

unique providers

20M

annual patient lives

$888B

in total billings

Multi-Payer Closed Claims ReadyData
can provide insights to help:

Deepen your understanding
of your target market

Remove gaps from patient 
journey analysis

Understand persistence 
and compliance

Support forecasting and 
market share analysis

Generate reimbursement
analytics

With Multi-Payer Closed Claims from McKesson CompileTM you'll benefit from:

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Details on payer channel (e.g., Medicare FFS, CHIP, Marketplace) and plan type information (e.g., HMO, PPO).

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Frequent data refreshes that happen every other month, so you'll always have up-to-date information.

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Unique details such as comprehensive payment information, chronic condition groups, and patient economic burden.

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A common data model that unifies Patient ReadyData™ for easy integration and analysis.

See the full picture for every patient

Stable longitudinal insights require comprehensive data. Get all claims attributed to included payers for each individual member. There's no guesswork - just real-world data.

Product - Multi Payer Closed
Product - Multi Payer Closed-mobile

The gaps mean projections might miss the mark. Only closed claims data provides all claims attributed to included payers for each individual member. There’s no guesswork — just real-world numbers.

Data confidence made simple

Don’t settle for an ordinary closed claims dataset. See even more with: 

NPI and robust cost info

NPI and robust cost information all in one place 

Identify economics and payer reimbursement down to the healthcare provider level. Having NPI and cost information in one dataset allows you to perform sophisticated payer analytics and investigate market access questions. 

Detailed Billing Records

Detailed Billing
Records
 

Use details on patient economic burden, rates by plan and payer, and all transactions for a service (including submitted, billed, and paid costs) to gauge the economics of intervention.

CCHG

Chronic Conditions Hierarchal Groups (CCHG)  

Evaluate spending averages and the effectiveness of treatment patterns for specific populations. CCHG categorizes individuals based on the entire set of conditions they may face to account for interactions between disease states.

Maximize insights by adding more elements to your data.

Flexible pricing and contracting model 

Don't wade through or pay for data you're not interested in. With McKesson Compile you'll have the flexibility to home in on just the data you need so you can optimize resources and get the most from your investment.

Ready to make your next great discovery?

Tell us about your ideal dataset.

USE CASES

Patient Journey

Patient Journey

McKesson Compile’s integrated provider and patient datasets help close knowledge gaps so you can understand the clinical and behavioral drivers of patient treatment journeys.

Our unique mix of open and closed claims data from a variety of sources helps you understand the clinical and behavioral factors driving patient treatment paths. Our datasets help you see what influences healthcare providers' prescribing decisions, when treatment switches occur, and the best intervention points to influence behavior and maximize adherence.

Gain strategic advantage with competitive intelligence

The breadth of data available from McKesson Compile™ allows you to map the patient journey for patients receiving therapy from competitive brands so you can better differentiate your product and improve the standard of care.

Identify potential treatment-ready patients

Utilizing demographic information from electronic health records (EHR) and social determinants of health (SDoH) can provide context that helps you identify key characteristics of patients using your therapy versus competitive brands so you can better identify and target patients that are the best fit for your therapy.

Reimbursement Analytics

Reimbursement Analytics

Gain insights into reimbursement trends, denial rates, and the impact of various factors on reimbursement for your brand.

Having up-to-date insight into payer dynamics helps pharma and biotech companies to navigate the market intelligently. With high-capture and longitudinal open and closed claims data from McKesson Compile™, you can gain a comprehensive view of the coverage and reimbursement rates for your brand. Unlocking this valuable data allows you to make informed decisions and strategically position your offerings. Additionally, you can leverage our claims, remittance, and open payment data to better understand what competitive strategies you’re up against and adjust your strategies accordingly.

Improve patient access

Leverage our proprietary blend of open and closed claims datasets to understand reimbursement trends at the provider and organizational level so you can work to remove barriers to patient access.

Optimize pricing strategy

Our combination of closed claims and remittance data allows you to broadly understand reimbursement rates for treatments within a targeted therapy area so you can create an optimal pricing strategy.

Payer Dynamics

Payer Dynamics

Understand the drivers of payer coverage decisions.

Understanding payer dynamics and the factors that influence coverage decisions are critical for brands to achieve maximum market penetration. Access to high-capture and longitudinal claims data gives you a comprehensive view of the relationships between payers, providers, and the healthcare organizations they’re affiliated with for any given therapy area. Gain the knowledge and insights needed to enhance your relationship with key payer organizations so you can improve your target patient’s access to care.

Go to market intelligently

Our up-to-date patient claims data helps you understand how payers cover specific drugs, including prior authorization requirements and formulary placements so you can guide pricing and patient access strategies.

Negotiate more effectively

Leverage our claims data to understand benchmark reimbursement rates within a specific therapy area so you can negotiate more effectively and align your offerings with payer interests.

Gain strategic advantage with competitive intelligence

Understanding payer-specific reimbursement rates at the provider and organizational level can help identify the right engagement strategy to more effectively displace competitive brands and gain market share.

Referral Analysis

Referral Analysis

Uncover insights by tracing referral and patient utilization patterns.

Referral analysis helps you uncover valuable insights by tracing referral and patient utilization patterns. It also allows for an intelligent market approach. Access to comprehensive claims data gives you a clearer understanding of the disease area landscape. With integrated provider and patient datasets from McKesson Compile™, you can understand referral patterns between providers and organizations so you can prospect, engage, and qualify high-fit leads more effectively. In addition, our Real-World Data Analytics teams can help create influence maps and identify target-similar accounts, expanding your addressable audience.

Understand patient treatment pathways

Our claims data provides details on provider referral activity so you can better understand how patients move between specialists and effective sales details and intervention points.

Refine targeting strategy

Understanding referral patterns on top of claims-based provider activity can help prioritize the most important providers and organizations within your target list.

Sales Attribution

Sales Attribution

Optimize your attribution model by accurately allocating sales at the prescriber or account level.

Understanding who should get ‘credit’ for a sale can be a major pain point for teams. Our proprietary affiliation strength score helps provide clarity by showing the relative strength of a relationship between a healthcare provider and an organization. Use these scores to determine the correct attribution for each rep using a roll-up, or roll-down methodology.

Achieve accuracy with simplicity

Our proprietary affiliation strength score allows you to improve the way you attribute sales to your reps – regardless of whether the sale happens at the provider or organization level.

Identify opportunity for expansion

Utilize the affiliation strength score in conjunction with prescribing behavior to determine which providers and organizations have strong relationships but aren’t prescribing as much of your brand as you’ve forecasted.

Account-Based Sales

Account-Based Sales

Move beyond HCP targeting and engage accounts with precision using McKesson Compile’s deep intelligence on HCOs and IDNs.

With in-depth intelligence from provider reference and patient claims data, you can gain the insights needed to more precisely identify and target your key accounts. By evaluating clinical activities, patient profiles, and behavioral attributes, you can identify and prioritize key healthcare providers (HCPs) and accounts that matter most. This approach helps maximize sales efforts by helping you understand the ownership structure of IDNs and determine the most effective targeting strategy.

Focus on the targets that matter the most

Our proprietary affiliations strength score helps you understand individual healthcare provider activity within the broader context of the organizations they’re affiliated with so you can engage at the account level and broaden your efforts.

Maximize sales with an optimized targeting strategy

Understand the ownership structure of the IDN and the level of control to decide between a top down vs. bottom up targeting strategy.

Engage at the right level

Our flexible account hierarchies help to standardize the complex web of parent and child relationships within a healthcare organization so you can understand where it makes the most sense to engage to achieve maximum impact.