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Analytical Wizards
Claims Data Navigator
Targeted Insights Mined from Real World
Data
Patient Journey ā€“ Disease-specific patient cohort selection
to address targeted business needs
ā€¢ Individual brands can be displayed, rather than drug
classes
ā€¢ Versions for medical diagnoses can be created to
understand disease progression and comorbidities
ā€¢ Patient cohorts are custom-developed to derive
focused insights for specific business challenges
2Ā© 2017 AnalyticalWizards INC. All rights reserved.
ā€¢ Analyses can be performed for any
variable captured in the data
ā€¢ Patients within any node along any
strand can be profiled cross-sectionally
or longitudinally
ā€¢ Elapsed time between medical events can be
determined
ā€¢ Events can include diagnoses, tests, and/or
treatments
3Ā© 2017 AnalyticalWizards INC. All rights reserved.
Claims Data Navigator Applications
Macro Level
Patient Journey
Mapping
Physician
Targeting
Market Sizing
and Forecasting
Patient Profiling
and Targeting
Inform Clinical
Trial Design
Advanced
Modeling -
Outcome
Prediction
4
4Ā© 2017 AnalyticalWizards INC. All rights reserved.
Macro-Level Patient Journey Mapping
Patient
demographics
Disease
progression
over time
Comorbid
conditions
Treating
physicians
Treatment by
line of therapy
ā€¢ Switching /
Adjunct therapy
Medical tests
Managed
Care / IDN
affiliation
5Ā© 2017 AnalyticalWizards INC. All rights reserved.
Target Physicians based on their real-world
treatment behavior
Identify Brand
Loyalists
Predict potential
Brand Loyalists
Identify Competitive
Loyalists and
potential defectors
Advanced modeling
to uncover factors
influencing brand
loyalty
ā€¢ Physician demographics
ā€¢ Patient characteristics
ā€¢ Geographic variations
ā€¢ MCO/IDN Influences
6Ā© 2017 AnalyticalWizards INC. All rights reserved.
Market Sizing and Forecasting
Real World
Evidence-based
market sizing
using identifiable
patient cohorts
Demographic
and treatment
trends shaping
likely future
prescribing levels
Analog
Identification
7Ā© 2017 AnalyticalWizards INC. All rights reserved.
Advanced Modeling - Outcome Prediction
Prediction of Positive and
Negative Outcomes
Characteristics
that determine
brand choice /
switching
Identification of
key variables
ā€¢ Patient Demographics
ā€¢ Treatments
ā€¢ Timing
8Ā© 2017 AnalyticalWizards INC. All rights reserved.
Patient Profiling and Targeting
Understand patient
treatment behavior
Identify unmet needs
and under-served
patient segments
Extract medical history
for targeted patient
cohort
Differentiate between
patients adhering to
your brand vs
competitorā€™s brand
9Ā© 2017 AnalyticalWizards INC. All rights reserved.
Inform Clinical Trial Design
Design Test-
Control
analysis
based on
real world
data
Develop new
trial designs
Align study
constraints
to real world
clinical
pathways
Identify good
and bad
outcomes
from
comparative
studies
Identify
points of
intervention
in treatment
10Ā© 2017 AnalyticalWizards INC. All rights reserved.
Pharma Data Assets Used by AW
Type of Data
ā€¢ Sales
ā€¢ Prescription data
ā€¢ Claims data
ā€¢ APLD Datasets
ā€¢ Promotional data (Calls,
Details, Vouchers,
Samples
ā€¢ Formulary Data
ā€¢ Internal Data
ā€¢ EMR Data
ā€¢ Specialty Pharmacy Data
ā€¢ A&P (TV, Print, Digital,
Copay, OOH)
Providers of Data
ā€¢ IMS Health (Midas,
Plantrak, Exponent, DDD,
NSP, HCOS
ā€¢ SHA (WK)
ā€¢ Fingertip
ā€¢ Medimedia
ā€¢ Cegedim
ā€¢ Epocrates
ā€¢ Optum, Truven
ā€¢ Media Agencies/Others ā€“
MediaVest, FCB,
AccessMed, McKesson
Type of Aggregation
ā€¢ Patient level
ā€¢ Physician level
ā€¢ Account level
ā€¢ Payer level
ā€¢ Sales Territory/Regional
level
ā€¢ Brick level
Levels of Data
ā€¢ National
ā€¢ Sub National
ā€¢ Physician / Customer level
ā€¢ Channel Level
ā€¢ DMA level
11Ā© 2017 AnalyticalWizards INC. All rights reserved.
AW has the cutting edge tools for Rapid Intelligent
Automated Data Selection and Cleaning
ā€¢Faster than SAS
ā€¢Impossible to do on laptops
(which have insufficient
computing power for processing
TBs of data)
ā€¢Approximately 1 day turnaround
ā€¢Queries run in seconds (other
platforms will take hours or days
to run the same query)
ā€¢Vectorized data analysis ā€“ Data
treated as Matrices rather than
rows, making processing much
faster than SAS
ā€¢R is open-source, much lower
cost than proprietary packages
like SAS
ā€¢Faster machine-learning
capabilities
12Ā© 2017 AnalyticalWizards INC. All rights reserved.
Google
BigQuery
Cloud-based
technology
Cloud-based R Studio
Automated querying
Intelligent Big Data Processing
~ 6.8 Billion
Records
>100 Million Patients
~ 68k Diagnosis
Raw Claims Data
Medical
Diagnosis
Lab
Results
Medical
Procedures
Drugs
Limit the Scope
- Identify known diagnosis,
associated drugs and medical
procedures
- Filter for the relevant patient
cohorts
- Keep the most appropriate
features from patient history
Build Disease Progressions
13Ā© 2017 AnalyticalWizards INC. All rights reserved.
Steps / Process
1. Identify Data
Sources for Analysis
ā€¢ Sales
ā€¢ Prescription data
ā€¢ Claims data
ā€¢ APLD Datasets
ā€¢ Promotional data (Calls, Details,
Vouchers, Samples
ā€¢ Formulary Data
ā€¢ Internal Data
ā€¢ EMR Data
ā€¢ Specialty Pharmacy Data
ā€¢ A&P (TV, Print, Digital, Copay, OOH
2. Fast Data Transfer to
Cloud Processing &
Analysis Environment
ā€¢ Raw files transferred from
client infrastructure to cloud
using proprietary Replicantā„¢
fast file transfer
ā€¢ Files quality-checked for
readability completeness, etc.
ā€¢ Files loaded into Google
BigQuery RDBMS
3. Data Selection for
Cleaning and
Preliminary Analysis
ā€¢ Client market definitions
ā€¢ Desk research
ā€¢ Iterative Data mining
4. Final Analyses and
Model Building
ā€¢ Descriptive Statistics
ā€¢ Advanced Model Building
14Ā© 2017 AnalyticalWizards INC. All rights reserved.
Rapid Intelligent Automated Data Selection and
Cleaning
1. Research Disease
Category (client definition
and/or desk research)
ā€¢ Identify related Drugs (NDC Rxs)
ā€¢ Identify relevant medical procedures
(JCODEs)
ā€¢ Identify relevant patient diagnoses
ā€¢Some patients are diagnosed but not
treated, donā€™t continue journey
2. Extract patient cohort for
study (SQL)
ā€¢ Criteria based on Drugs taken, Medical
procedures, and/or Diagnosis codes
previously identified
ā€¢ Patient Cohort definition refined via
iterative analysis
ā€¢Data analysis surfaces additional patient
characteristics and treatments
3. Define a relevant study
period (6 months to 3+ years)
to identify complete patient
records
ā€¢ Remove patients with partial/intermittent
coverage
ā€¢ Final dataset contains complete patient
records
15Ā© 2017 AnalyticalWizards INC. All rights reserved.
Claims Data Analysis Refinement and Discovery
1. Clean Patient
Cohort
ā€¢Refinement and
discovery of relevant
patient characteristics
and treatment
2. Examine ICD9/10 codes to Discover Most
Common Diagnoses for Patient Cohort
ā€¢ Identify new JCODEs, ICD9/10, etc. based on what the data
reveals
ā€¢ Use data to identify comorbidities
ā€¢JCODEs
ā€¢ICD9/10
ā€¢DRG
ā€¢CPT4
ā€¢NDC (other drugs)
ā€¢ Some patients may not have ICD9 Dx, but are considered
relevant due to Rxs or medical procedures
ā€¢Lab Results
3. Build Patient Profiles
with Timelines for Disease
Progression
ā€¢Based on patient characteristics,
medical history, and comorbidities
ā€¢Develop predictive models for
disease diagnosis and/or disease
progression
16Ā© 2017 AnalyticalWizards INC. All rights reserved.
Contact
Eric Levin, Senior Director
elevin@analyticalwizards.com
609-509-7277
Ram Sharma, Managing Director
rsharma@analyticalwizards.com
973-994-2270

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Analytical Wizards' Claims Data Navigator for Patient Journey and More

  • 1. Analytical Wizards Claims Data Navigator Targeted Insights Mined from Real World Data
  • 2. Patient Journey ā€“ Disease-specific patient cohort selection to address targeted business needs ā€¢ Individual brands can be displayed, rather than drug classes ā€¢ Versions for medical diagnoses can be created to understand disease progression and comorbidities ā€¢ Patient cohorts are custom-developed to derive focused insights for specific business challenges 2Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 3. ā€¢ Analyses can be performed for any variable captured in the data ā€¢ Patients within any node along any strand can be profiled cross-sectionally or longitudinally ā€¢ Elapsed time between medical events can be determined ā€¢ Events can include diagnoses, tests, and/or treatments 3Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 4. Claims Data Navigator Applications Macro Level Patient Journey Mapping Physician Targeting Market Sizing and Forecasting Patient Profiling and Targeting Inform Clinical Trial Design Advanced Modeling - Outcome Prediction 4 4Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 5. Macro-Level Patient Journey Mapping Patient demographics Disease progression over time Comorbid conditions Treating physicians Treatment by line of therapy ā€¢ Switching / Adjunct therapy Medical tests Managed Care / IDN affiliation 5Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 6. Target Physicians based on their real-world treatment behavior Identify Brand Loyalists Predict potential Brand Loyalists Identify Competitive Loyalists and potential defectors Advanced modeling to uncover factors influencing brand loyalty ā€¢ Physician demographics ā€¢ Patient characteristics ā€¢ Geographic variations ā€¢ MCO/IDN Influences 6Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 7. Market Sizing and Forecasting Real World Evidence-based market sizing using identifiable patient cohorts Demographic and treatment trends shaping likely future prescribing levels Analog Identification 7Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 8. Advanced Modeling - Outcome Prediction Prediction of Positive and Negative Outcomes Characteristics that determine brand choice / switching Identification of key variables ā€¢ Patient Demographics ā€¢ Treatments ā€¢ Timing 8Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 9. Patient Profiling and Targeting Understand patient treatment behavior Identify unmet needs and under-served patient segments Extract medical history for targeted patient cohort Differentiate between patients adhering to your brand vs competitorā€™s brand 9Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 10. Inform Clinical Trial Design Design Test- Control analysis based on real world data Develop new trial designs Align study constraints to real world clinical pathways Identify good and bad outcomes from comparative studies Identify points of intervention in treatment 10Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 11. Pharma Data Assets Used by AW Type of Data ā€¢ Sales ā€¢ Prescription data ā€¢ Claims data ā€¢ APLD Datasets ā€¢ Promotional data (Calls, Details, Vouchers, Samples ā€¢ Formulary Data ā€¢ Internal Data ā€¢ EMR Data ā€¢ Specialty Pharmacy Data ā€¢ A&P (TV, Print, Digital, Copay, OOH) Providers of Data ā€¢ IMS Health (Midas, Plantrak, Exponent, DDD, NSP, HCOS ā€¢ SHA (WK) ā€¢ Fingertip ā€¢ Medimedia ā€¢ Cegedim ā€¢ Epocrates ā€¢ Optum, Truven ā€¢ Media Agencies/Others ā€“ MediaVest, FCB, AccessMed, McKesson Type of Aggregation ā€¢ Patient level ā€¢ Physician level ā€¢ Account level ā€¢ Payer level ā€¢ Sales Territory/Regional level ā€¢ Brick level Levels of Data ā€¢ National ā€¢ Sub National ā€¢ Physician / Customer level ā€¢ Channel Level ā€¢ DMA level 11Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 12. AW has the cutting edge tools for Rapid Intelligent Automated Data Selection and Cleaning ā€¢Faster than SAS ā€¢Impossible to do on laptops (which have insufficient computing power for processing TBs of data) ā€¢Approximately 1 day turnaround ā€¢Queries run in seconds (other platforms will take hours or days to run the same query) ā€¢Vectorized data analysis ā€“ Data treated as Matrices rather than rows, making processing much faster than SAS ā€¢R is open-source, much lower cost than proprietary packages like SAS ā€¢Faster machine-learning capabilities 12Ā© 2017 AnalyticalWizards INC. All rights reserved. Google BigQuery Cloud-based technology Cloud-based R Studio Automated querying
  • 13. Intelligent Big Data Processing ~ 6.8 Billion Records >100 Million Patients ~ 68k Diagnosis Raw Claims Data Medical Diagnosis Lab Results Medical Procedures Drugs Limit the Scope - Identify known diagnosis, associated drugs and medical procedures - Filter for the relevant patient cohorts - Keep the most appropriate features from patient history Build Disease Progressions 13Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 14. Steps / Process 1. Identify Data Sources for Analysis ā€¢ Sales ā€¢ Prescription data ā€¢ Claims data ā€¢ APLD Datasets ā€¢ Promotional data (Calls, Details, Vouchers, Samples ā€¢ Formulary Data ā€¢ Internal Data ā€¢ EMR Data ā€¢ Specialty Pharmacy Data ā€¢ A&P (TV, Print, Digital, Copay, OOH 2. Fast Data Transfer to Cloud Processing & Analysis Environment ā€¢ Raw files transferred from client infrastructure to cloud using proprietary Replicantā„¢ fast file transfer ā€¢ Files quality-checked for readability completeness, etc. ā€¢ Files loaded into Google BigQuery RDBMS 3. Data Selection for Cleaning and Preliminary Analysis ā€¢ Client market definitions ā€¢ Desk research ā€¢ Iterative Data mining 4. Final Analyses and Model Building ā€¢ Descriptive Statistics ā€¢ Advanced Model Building 14Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 15. Rapid Intelligent Automated Data Selection and Cleaning 1. Research Disease Category (client definition and/or desk research) ā€¢ Identify related Drugs (NDC Rxs) ā€¢ Identify relevant medical procedures (JCODEs) ā€¢ Identify relevant patient diagnoses ā€¢Some patients are diagnosed but not treated, donā€™t continue journey 2. Extract patient cohort for study (SQL) ā€¢ Criteria based on Drugs taken, Medical procedures, and/or Diagnosis codes previously identified ā€¢ Patient Cohort definition refined via iterative analysis ā€¢Data analysis surfaces additional patient characteristics and treatments 3. Define a relevant study period (6 months to 3+ years) to identify complete patient records ā€¢ Remove patients with partial/intermittent coverage ā€¢ Final dataset contains complete patient records 15Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 16. Claims Data Analysis Refinement and Discovery 1. Clean Patient Cohort ā€¢Refinement and discovery of relevant patient characteristics and treatment 2. Examine ICD9/10 codes to Discover Most Common Diagnoses for Patient Cohort ā€¢ Identify new JCODEs, ICD9/10, etc. based on what the data reveals ā€¢ Use data to identify comorbidities ā€¢JCODEs ā€¢ICD9/10 ā€¢DRG ā€¢CPT4 ā€¢NDC (other drugs) ā€¢ Some patients may not have ICD9 Dx, but are considered relevant due to Rxs or medical procedures ā€¢Lab Results 3. Build Patient Profiles with Timelines for Disease Progression ā€¢Based on patient characteristics, medical history, and comorbidities ā€¢Develop predictive models for disease diagnosis and/or disease progression 16Ā© 2017 AnalyticalWizards INC. All rights reserved.
  • 17. Contact Eric Levin, Senior Director elevin@analyticalwizards.com 609-509-7277 Ram Sharma, Managing Director rsharma@analyticalwizards.com 973-994-2270