Case Study

Patient Analytics and Co-Pay Optimization

Objective

  • Diagnose the decline in NBRx trends for a major pharmaceutical specialty brand
  • Identify gaps in the patient journey from Rx enrollments to actual consumption
  • Recommend strategies to stabilize and grow market share

Approach

  • Conducted diagnostics across NBRx and sales trends, HCP specialty usage trends and Rx enrollments, including Specialty Pharmacy (SP) and NPA data
  • Analyzed reasons for patient drop-offs using SP data to uncover gaps between Rx enrollments and co-pay enrollments
  • Triangulated data to compare trends between enrolled and non-enrolled patients and identified key referral sources contributing to lower brand conversions
  • Examined differential co-pay enrollments (HCP level vs. SP level) and the leakage between commercial prescriptions and referrals

Outcome

  • Identified a year-on-year decline in referrals and a drop in Rx enrollments which was resulting in lower conversions
  • Highlighted key gaps, including lack of awareness about co-pay programs and challenges in patient outreach programs
  • Flagged SPs with lower enrollment and HCPs with high referrals but low co-pay fulfillment for targeted intervention

Client Benefits

  • Implemented consistent messaging on co-pay enrollments across HCP and SP interactions to improve program adoption
  • Enhanced patient education programs to address awareness gaps and improve co-pay enrollment rates
  • Revisited target lists with SP data to empower the field force with actionable insights, driving better focus on underperforming HCPs

Advanced Analytics