The powerful impact on market intelligence for healthcare providers

A leading healthcare system faced declining revenue despite population growth in its service area, and needed market intelligence to understand its competitive landscape, spot where patients sought care outside its network, and identify which service lines held the greatest financial opportunity. It combined its existing HospitalView product with ClaimsMx, including "ClaimsMx ACE Projections, which estimates 100% claims coverage," to gain visibility into competitor performance, procedure volumes, referral patterns, and claims data across all age groups. This identified orthopedic knee surgery as a high-volume growth opportunity where patients were leaving the network for care, "increased procedure claims volumes and margins" through service expansion and physician recruitment, and achieved "greater market share" by recapturing patients from competitors, while consolidating analytics that had previously come from disparate public sources.

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.