Informing clinical care programs and partnerships with data and analytics

A pediatric healthcare system in the northeast needed visibility into its total addressable market and market share for inpatient and outpatient services to guide clinical care programming and partnership decisions. Its business development team used "Atlas All-Payor Claims" data to examine facilities and physicians treating the top ICD-10 codes for patients 18 and younger, capturing patient origins, care settings, payor information, and patient/claims counts. The analysis surfaced "60,000 diagnosis codes across 890,000 total patients" in the target region and age group. This enabled the team to understand market competition and identify how to meet community needs in the years ahead.

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.