Driving market expansion by influencing patient referrals and leakage

A nonprofit pediatric healthcare system needed to understand its addressable market within a specific state to expand market share but lacked visibility into patient journey patterns, referral routes, and where patients were receiving care outside its network. Its business development team used Definitive Healthcare's "Atlas All-Payor Claims data" to map patient journeys, tracking care touchpoints at institutions and with physicians 60 days before and after a patient received care at the system's own facilities. This analysis identified "650 hospitals that patients in this cohort visited within 60 days of receiving care at their facility," giving the health system data to develop strategies for influencing referral patterns, reducing out-of-network leakage, and growing market share.

The customer is anonymised in Definitive Healthcare’s own case study — not withheld by us.

Definitive Healthcare is a claims and provider-reference data platform used by pharma commercial teams for go-to-market planning and sales targeting.

This sits in the Data Providers stage of the AI use-case lifecycle: Named examples from the real-world-data, claims and competitive-intelligence providers pharma AI systems are trained on, benchmarked against, or run inside of.