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Empowering Pharma Growth with Advanced Market Access Analytics

A leading healthcare company partnered with Infocepts to deploy a predictive analytics solution that streamlined market access, reduced claim rejections, improved demand forecasting, and boosted sales—resulting in better coverage, fewer stockouts, and stronger provider engagement.

The Challenge

Our client faced the following challenges that hindered its market growth and operational efficiency:

  • The Marketing team lacked consistent, data-driven insights, making it difficult to refine commercialization strategies, which led to poor market penetration and missed revenue opportunities.
  • High claim rejection and abandonment rates led to significant financial losses and strained trust between insurers and healthcare providers, jeopardizing long-term partnerships.
  • Fragmented data and inadequate analytics capabilities limited visibility into market trends, sales performance, and inventory forecasting, leading to inefficient stock management and missed demand signals.

The Solution

Infocepts implemented an integrated, predictive analytics–driven solution that delivered a 360° view of market access by unifying diverse data sources and enabling targeted, data-backed interventions across critical business functions.

1. Claims & Payer Intelligence

  • Enhanced accuracy & visibility: Processed and analyzed over 2 million claims with 92% accuracy, uncovering key patterns driving rejections and delays.
  • Real-time decisioning: Deployed an eligibility verification API, reducing claim rejections through instant checks and feedback loops.
  • Centralized data foundation: Consolidated claims data on Snowflake, enabling advanced analytics to identify rejection and abandonment trends and support proactive payer engagement strategies.

2. Rep Engagement Optimization

  • Smarter interactions: Integrated Veeva CRM with AWS NLP capabilities to trigger intelligent engagement recommendations for sales reps.
  • Actionable insights at scale: Delivered targeted suggestions that improved the quality and timing of HCP interactions, resulting in stronger engagement and increased drug adoption.

3. Sales & Demand Forecasting

  • Embedded intelligence: Integrated machine learning–based forecasting models directly into Power BI dashboards, enabling seamless access to predictive insights.
  • Improved planning: Delivered high-accuracy demand predictions, empowering teams to optimize inventory management, resource allocation, and cost control.

The Outcome

The solution delivered measurable improvements across key business areas:

  • $3.8M in savings from reduced claim rejections.
  • $2.1M in cost savings through improved inventory management.
  • $6.2M in additional revenue from increased drug launch success.
  • Significant improvement in demand forecasting accuracy.
  • Substantial reduction in stockouts and minimized overstock issues.
  • Improvised meaningful HCP interactions, leading strong key account relationships.
Drive better market access and sales with AI-powered insights. Talk to us to get started on your transformation journey.

About the Client

Our client is a leading pharmaceutical company focused on developing novel therapies for serious and life-threatening diseases. With a robust pipeline and investments in gene editing and biotechnology, the company is committed to delivering personalized treatments that transform patient care and improve health outcomes worldwide.

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