Know Every Payer's Rules Before You Walk In
Know every payer's rules before you walk into the room. Comprehensive US payer coverage data with health plan profiles, formulary tracking, and coverage policy monitoring.
Comprehensive Payer Intelligence
From health plan profiles to coverage policies, US Payer Intelligence surfaces the data you need for access success.
Health Plan Profiles
40+ major US health plans including Medicare Part B/D, Medicaid, Commercial, PBMs, and IDNs. Coverage details, decision criteria, and key contacts.
Formulary Tracking
Real-time monitoring of formulary status changes, tier positioning, prior authorization requirements, and step therapy protocols.
Coverage Policy Database
Searchable database of payer-specific coverage policies, evidence requirements, and decision-making frameworks for faster access success.
Access Payer Intelligence Across All Types
Unified intelligence across all payer types to accelerate access strategies and formulary positioning.
Medicare
Medicare Part B and Part D coverage policies, pricing strategies, and formulary positioning for government programs.
Medicaid
State-specific Medicaid coverage requirements, formulary rules, and access strategies across all 50 states.
Commercial
Self-insured and fully-insured commercial plan access data, tier positioning, and formulary management strategies.
PBM Strategies
Pharmacy benefit manager formulary positioning, contracting strategies, and network access optimization.
IDN & Specialty
Integrated delivery network and specialty pharmacy coverage policies, contracting terms, and formulary requirements.
Payer Archetypes
Strategic payer archetypes and behavioral profiles to identify key decision-makers and access pathways.
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